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-- Database: `fantasto_lrti`
--

-- --------------------------------------------------------

--
-- Table structure for table `intents`
--

CREATE TABLE `intents` (
  `id` bigint(20) UNSIGNED NOT NULL,
  `tag` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL,
  `context_set` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL,
  `created_at` timestamp NULL DEFAULT NULL,
  `updated_at` timestamp NULL DEFAULT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;

--
-- Dumping data for table `intents`
--

INSERT INTO `intents` (`id`, `tag`, `context_set`, `created_at`, `updated_at`) VALUES
(14, 'Tubeculosis', 'Causes', '2023-12-21 01:51:22', '2024-02-01 10:43:35'),
(20, 'Tuberculosis', 'signs and symptoms', '2023-12-21 13:30:01', '2024-02-01 15:49:03'),
(23, 'Tuberculosis', 'Definition', '2024-01-27 13:15:53', '2024-02-01 02:48:03'),
(26, 'Tuberculosis', 'risk factors', '2024-02-01 14:55:24', '2024-02-01 16:32:02'),
(29, 'COPD', 'risk factors', '2024-02-01 16:30:56', '2024-02-01 16:31:15'),
(32, 'COPD', 'Cause', '2024-02-01 16:36:03', '2024-02-01 16:36:03'),
(35, 'Tuberculosis', 'post-diagnosis', '2024-02-01 16:48:12', '2024-02-01 16:48:12'),
(38, 'Pneumonia', 'Definition', '2024-02-02 14:22:11', '2024-02-02 14:22:11'),
(41, 'Pneumonia', 'cause', '2024-02-02 14:22:35', '2024-02-02 14:22:35'),
(44, 'Pnuemonia', 'signs and symptoms', '2024-02-02 14:23:19', '2024-02-02 14:23:19'),
(47, 'COPD', 'signs and symptoms', '2024-02-02 14:23:48', '2024-02-02 14:23:48'),
(50, 'Asthma', 'definition/ description', '2024-02-02 14:25:24', '2024-02-02 14:25:24'),
(53, 'Asthma', 'signs and symptoms', '2024-02-02 14:25:46', '2024-02-02 14:25:46'),
(56, 'Asthma', 'risk factors', '2024-02-02 14:26:20', '2024-02-02 14:26:20'),
(59, 'Brochitis', 'definition/ description', '2024-02-02 14:26:53', '2024-02-02 14:29:23'),
(62, 'Brochitis', 'risk factors', '2024-02-02 14:26:53', '2024-02-02 14:29:00'),
(65, 'Bronchitis', 'Signs and symptoms', '2024-02-02 14:28:15', '2024-02-02 14:28:15'),
(68, 'Covid', 'Definition/ description', '2024-02-02 14:30:36', '2024-02-02 14:30:36'),
(71, 'Covid', 'Signs and symptoms', '2024-02-02 14:31:01', '2024-02-02 14:31:01'),
(74, 'Covid', 'how its spread', '2024-02-02 14:31:19', '2024-02-02 14:31:19'),
(77, 'Covid', 'cause', '2024-02-02 14:33:38', '2024-02-02 14:33:38'),
(80, 'covid 19', 'prevention', '2024-02-02 15:25:30', '2024-02-02 15:25:30'),
(83, 'Asthma', 'Types', '2024-02-02 18:53:03', '2024-02-02 18:53:03'),
(86, 'Tuberculosis', 'selfcare', '2024-02-06 00:14:03', '2024-02-06 00:14:03'),
(89, 'Bronchitis', 'cause', '2024-02-06 01:05:36', '2024-02-06 01:05:36'),
(92, 'Covid', 'Fatality', '2024-02-07 23:29:01', '2024-02-07 23:29:01'),
(95, 'covid', 'origin', '2024-02-07 23:32:48', '2024-02-07 23:32:48'),
(98, 'covid', 'Prevention', '2024-02-07 23:37:40', '2024-02-07 23:37:40'),
(101, 'Tuberculosis', 'vulnerable persons', '2024-02-08 18:10:57', '2024-02-08 18:10:57'),
(104, 'Tuberculosis', 'TB vs LTBI', '2024-02-08 18:20:07', '2024-02-08 18:20:07'),
(107, 'latent TB infection (LTBI)', 'Definition', '2024-02-08 18:23:41', '2024-02-08 18:23:41'),
(110, 'Tuberculosis', 'testing', '2024-02-08 23:34:43', '2024-02-08 23:34:43'),
(113, 'Tuberculosis', 'test types', '2024-02-08 23:45:46', '2024-02-08 23:45:46'),
(116, 'Tuberculosis', 'TB blood test', '2024-02-08 23:53:11', '2024-02-08 23:53:11'),
(119, 'Tuberculosis', 'skin test', '2024-02-09 00:20:50', '2024-02-09 00:20:50'),
(122, 'Tuberculosis', 'Positive test', '2024-02-09 00:27:38', '2024-02-09 00:27:38'),
(125, 'LTBI', 'LTBI medicine side effects', '2024-02-09 00:31:47', '2024-02-09 00:48:25'),
(128, 'Tuberculosis', 'treatment', '2024-02-09 00:36:19', '2024-02-09 00:36:19'),
(131, 'Tuberculosis', 'curable', '2024-02-09 00:43:37', '2024-02-09 00:43:37'),
(134, 'Tubeculosis', 'medicine side effects', '2024-02-09 00:48:48', '2024-02-09 00:48:48'),
(137, 'Tuberculosis', 'medication duration', '2024-02-09 00:53:01', '2024-02-09 00:53:01'),
(140, 'Tuberculosis', 'multidrug- resistant TB', '2024-02-09 00:57:25', '2024-02-09 00:57:25'),
(143, 'Tuberculosis', 'extensively drug-resistant TB (XDR TB)', '2024-02-09 01:04:43', '2024-02-09 01:04:43'),
(146, 'Tuberculosis', 'drugs', '2024-02-09 01:16:08', '2024-02-09 01:16:08'),
(149, 'Tuberculosis', 'Prevention', '2024-02-09 01:21:39', '2024-02-09 01:21:39'),
(152, 'COPD', 'stages', '2024-02-09 01:29:29', '2024-02-09 01:29:29'),
(154, 'COPD', 'life expectancy', '2024-02-09 01:37:16', '2024-02-09 01:37:16'),
(155, 'COPD', 'exacerbation', '2024-02-09 01:44:52', '2024-02-09 01:44:52'),
(158, 'COPD', 'acquiring COPD', '2024-02-09 01:48:16', '2024-02-09 01:48:16'),
(161, 'COPD', 'COPD vs emphysema', '2024-02-09 01:50:31', '2024-02-09 01:56:02'),
(164, 'COPD', 'COPD vs asthma', '2024-02-09 01:55:19', '2024-02-09 01:55:19'),
(167, 'COPD', 'curable', '2024-02-09 01:57:58', '2024-02-09 01:57:58'),
(170, 'COPD', 'Treatment', '2024-02-09 02:02:43', '2024-02-09 02:02:43'),
(173, 'COPD', 'Surgery', '2024-02-09 02:05:13', '2024-02-09 02:05:13'),
(176, 'COPD', 'oxygen therapy', '2024-02-09 02:08:32', '2024-02-09 02:08:32'),
(179, 'COPD', 'Breathing exercises', '2024-02-09 02:09:11', '2024-02-09 02:09:11'),
(182, 'COPD', 'Natural remedies', '2024-02-09 02:09:36', '2024-02-09 02:09:36'),
(185, 'COPD', 'prevention', '2024-02-09 02:17:29', '2024-02-09 02:17:29'),
(188, 'Bronchits', 'contagious', '2024-02-09 02:43:23', '2024-02-09 02:43:23'),
(191, 'Bronchitis', 'Duration', '2024-02-09 02:44:36', '2024-02-09 02:44:36'),
(194, 'Bronchitis', 'types', '2024-02-09 02:50:35', '2024-02-09 02:50:35'),
(196, 'Bronchitis', 'Prevention', '2024-02-09 02:51:32', '2024-02-09 02:51:32'),
(197, 'Bronchitis', 'medical attention', '2024-02-09 02:57:12', '2024-02-09 02:57:12'),
(200, 'Bronchitis', 'self care', '2024-02-09 03:00:33', '2024-02-09 03:00:33'),
(203, 'Pneumonia', 'catch', '2024-02-09 03:10:04', '2024-02-09 03:10:04'),
(206, 'Pneumonia', 'Treatment', '2024-02-09 03:12:19', '2024-02-09 03:12:19'),
(209, 'Bronchitis', 'Prevention', '2024-02-09 03:15:51', '2024-02-09 03:15:51'),
(211, 'Pneumonia', 'vulnerable people', '2024-02-09 03:17:42', '2024-02-09 03:17:42'),
(212, 'Pneumonia', 'medical assistance', '2024-02-09 03:18:21', '2024-02-09 03:18:21'),
(215, 'Pneumonia', 'tests', '2024-02-09 03:23:40', '2024-02-09 03:23:40'),
(218, 'Pneumonia', 'Prevention', '2024-02-09 11:46:10', '2024-02-09 11:46:10'),
(221, 'Pneumonia', 'Follow-up', '2024-02-09 11:53:34', '2024-02-09 11:53:34'),
(224, 'Bronchitis', 'feeding', '2024-02-09 12:44:59', '2024-02-09 12:44:59'),
(227, 'Bronchitis', 'Do\'s and don\'ts', '2024-02-09 13:41:13', '2024-02-09 13:41:13'),
(230, 'acute bronchitis', 'contagious', '2024-02-09 14:09:57', '2024-02-09 14:09:57'),
(233, 'Chronic bronchitis', 'Contagious', '2024-02-09 14:10:23', '2024-02-09 14:10:23'),
(236, 'bronchitis', 'Spread', '2024-02-09 14:14:29', '2024-02-09 14:14:29'),
(239, 'Bronchitis', 'contagious duration', '2024-02-09 14:29:23', '2024-02-09 14:29:23'),
(242, 'Asthma', 'Effects', '2024-02-09 14:33:05', '2024-02-09 14:33:05'),
(245, 'Asthma', 'contagious', '2024-02-09 14:38:47', '2024-02-09 14:38:47'),
(248, 'Asthma', 'curable', '2024-02-09 14:44:13', '2024-02-09 14:44:13'),
(251, 'Asthma', 'sports', '2024-02-09 14:50:44', '2024-02-09 14:50:44'),
(254, 'Asthma', 'medications and pregnancy', '2024-02-09 15:00:10', '2024-02-09 15:00:10'),
(257, 'Asthma', 'Do\'s', '2024-02-09 15:01:34', '2024-02-09 15:01:34'),
(260, 'Asthma', 'safe exercise', '2024-02-09 15:17:38', '2024-02-09 15:17:38'),
(263, 'Asthma', 'Exposure', '2024-02-09 15:53:21', '2024-02-09 15:53:21'),
(266, 'Asthma', 'Heartburn', '2024-02-09 15:58:28', '2024-02-09 15:58:28'),
(269, 'Asthma', 'Bronchodilator', '2024-02-09 16:00:11', '2024-02-09 16:00:11'),
(272, 'Asthma', 'allergy treatment', '2024-02-09 16:09:40', '2024-02-09 16:09:40'),
(275, 'Asthma', 'medication and pain', '2024-02-09 16:34:31', '2024-02-09 16:34:31'),
(278, 'Asthma', 'Flare ups', '2024-02-09 20:53:02', '2024-02-09 20:53:02'),
(281, 'Asthma', 'severity', '2024-02-09 21:00:43', '2024-02-09 21:00:43'),
(284, 'Asthma', 'exercise induced', '2024-02-09 21:03:12', '2024-02-09 21:03:12'),
(287, 'asthma', 'child', '2024-02-09 22:49:39', '2024-02-09 22:49:39'),
(290, 'Asthma', 'inhalers', '2024-02-09 23:26:43', '2024-02-09 23:26:43'),
(293, 'Asthma', 'peak flow meter', '2024-02-09 23:27:25', '2024-02-09 23:27:25'),
(296, 'Asthma', 'more inhalers', '2024-02-09 23:42:50', '2024-02-09 23:42:50'),
(299, 'Asthma', 'peak flow meter how', '2024-02-09 23:48:49', '2024-02-09 23:48:49'),
(302, 'Asthma', 'action plan Vs Diary', '2024-02-10 00:01:47', '2024-02-10 00:16:42'),
(305, 'Asthma', 'Peak flow advantanges', '2024-02-10 00:18:52', '2024-02-10 00:18:52'),
(308, 'Asthma', 'diet', '2024-02-10 00:32:08', '2024-02-10 00:32:08'),
(311, 'Asthma', 'no-go foods', '2024-02-10 00:45:07', '2024-02-10 00:45:07'),
(314, 'Covid', 'vaccines', '2024-02-10 01:18:27', '2024-02-10 01:18:27'),
(317, 'Covid', 'variant and children', '2024-02-10 01:25:04', '2024-02-10 01:25:04'),
(320, 'Covid', 'vaccines vs new variants', '2024-02-10 01:27:10', '2024-02-10 01:27:10'),
(323, 'Covid', 'vaccines and testing', '2024-02-10 01:43:09', '2024-02-10 01:43:09'),
(325, 'Covid', 'breastfeeding', '2024-02-10 02:07:20', '2024-02-10 02:07:20'),
(332, 'Covid', 'pandemic', '2024-02-10 02:09:15', '2024-02-10 02:09:15'),
(341, 'Covid', 'stigma', '2024-02-10 02:20:48', '2024-02-10 02:20:48'),
(344, 'Covid', 'Covid and HIV treatment', '2024-02-10 02:25:53', '2024-02-10 02:25:53'),
(347, 'Covid', 'ARVs and covid', '2024-02-10 02:47:41', '2024-02-10 02:47:41'),
(350, 'Covid', 'HIV results', '2024-02-10 02:48:05', '2024-02-10 02:58:48'),
(353, 'Covid vaccines', 'Safety', '2024-02-10 02:58:18', '2024-02-10 02:58:18'),
(356, 'Covid vaccines', 'Protection and HIV', '2024-02-10 03:00:33', '2024-02-10 03:00:33'),
(359, 'Covid vaccines', 'Dosage for HIV patients', '2024-02-10 03:01:23', '2024-02-10 03:01:23'),
(362, 'Covid', 'Risk of development of immune escape variants', '2024-02-10 03:14:58', '2024-02-10 03:14:58'),
(365, 'Covid', 'Sports', '2024-02-10 03:21:11', '2024-02-10 03:21:11'),
(368, 'Covid', 'vaccine and breastfeeding', '2024-02-10 10:27:59', '2024-02-10 10:27:59'),
(371, 'Covid', 'Formula milk', '2024-02-10 10:29:03', '2024-02-10 10:29:03'),
(374, 'Covid', 'breastfeeding', '2024-02-10 17:03:18', '2024-02-10 17:03:18'),
(377, 'Covid 19', 'unwell mother', '2024-02-10 17:03:45', '2024-02-10 17:03:45'),
(382, 'Covid', 'community', '2024-02-10 17:28:50', '2024-02-10 17:28:50'),
(383, 'Covid', 'areas of disinfection', '2024-02-10 17:41:58', '2024-02-10 17:41:58'),
(389, 'Covid', 'Disinfectants', '2024-02-10 17:42:50', '2024-02-10 17:42:50'),
(395, 'Covid', 'disinfectant protection measures', '2024-02-10 18:17:43', '2024-02-10 18:17:43'),
(398, 'Covid', 'outdoor disinfection', '2024-02-10 18:18:14', '2024-02-10 18:18:14'),
(401, 'Covid', 'public systems for disinfecting', '2024-02-10 18:23:45', '2024-02-10 18:23:45'),
(404, 'Covid', 'Recommended Practices', '2024-02-10 18:29:40', '2024-02-10 18:29:40'),
(407, 'Covid', 'Cleaning food stuffs', '2024-02-10 19:56:14', '2024-02-10 19:56:14'),
(410, 'Covid', 'gloves', '2024-02-10 20:22:19', '2024-02-10 20:22:19'),
(413, 'Covid', 'covid and family planing', '2024-02-10 20:30:29', '2024-02-10 20:30:29'),
(416, 'Covid', 'pregnancy avoidance', '2024-02-10 20:45:52', '2024-02-10 20:45:52'),
(419, 'Covid', 'accessing contraceptive method', '2024-02-10 20:46:54', '2024-02-10 20:46:54'),
(421, 'Covid', 'Bets contraceptive', '2024-02-10 20:52:34', '2024-02-10 20:52:34'),
(422, 'Covid', 'change contraceptive method', '2024-02-10 20:53:06', '2024-02-10 20:53:06'),
(425, 'Covid', 'removal of implant/ IUD', '2024-02-10 21:15:32', '2024-02-10 21:15:32'),
(428, 'Covid', 'healthcare provider', '2024-02-10 21:16:33', '2024-02-10 21:16:33'),
(431, 'Covid', 'Policy maker', '2024-02-10 21:17:19', '2024-02-10 21:17:19'),
(434, 'Covid', 'Contact tracing', '2024-02-10 22:06:08', '2024-02-10 22:06:08'),
(436, 'Covid', 'contact tracing vs spread of the virus', '2024-02-10 22:06:55', '2024-02-10 22:06:55'),
(437, 'Covid', 'Contact tracing and new variants', '2024-02-10 22:55:19', '2024-02-10 22:55:19'),
(440, 'Covid', 'contact', '2024-02-10 22:57:57', '2024-02-10 22:57:57'),
(443, 'Covid', 'digital proximity tracing data storage', '2024-02-10 23:05:07', '2024-02-10 23:05:07'),
(446, 'Covid', 'quarantine', '2024-02-10 23:06:01', '2024-02-10 23:06:01'),
(449, 'Covid', 'managing quarantine', '2024-02-10 23:08:57', '2024-02-10 23:08:57'),
(452, 'Covid', 'supporting contact tracing', '2024-02-10 23:09:54', '2024-02-10 23:09:54'),
(455, 'Covid', 'travelling and contact tracing info', '2024-02-10 23:18:31', '2024-02-10 23:18:31'),
(458, 'Covid', 'Contact do\'s', '2024-02-10 23:24:21', '2024-02-10 23:24:21'),
(461, 'Covid', 'Isolation', '2024-02-11 00:01:14', '2024-02-11 00:01:14'),
(464, 'Covid', 'Environmental surveillance', '2024-02-12 11:39:41', '2024-02-12 11:39:41'),
(470, 'Covid', 'waste water sample tests', '2024-02-12 11:42:41', '2024-02-12 11:42:41'),
(526, 'COPD', 'pulmonary rehabilitation', '2024-03-06 18:13:49', '2024-03-06 18:13:49'),
(527, 'COPD', 'COPD in children', '2024-03-06 18:13:51', '2024-03-06 18:13:51'),
(528, 'Asthma', 'impact', '2024-03-06 18:14:09', '2024-03-06 18:14:09'),
(529, 'Asthma', 'self care', '2024-03-06 18:14:13', '2024-03-06 18:14:13'),
(530, 'Asthma', '444 rule', '2024-03-06 18:14:16', '2024-03-06 18:14:16'),
(531, 'Asthma', '444 rule steps', '2024-03-06 18:14:18', '2024-03-06 18:14:18'),
(532, 'Asthma', 'Common mistakes to avoid', '2024-03-06 18:14:20', '2024-03-06 18:14:20'),
(533, 'Asthma', 'need for first aid', '2024-03-06 18:14:28', '2024-03-06 18:14:28'),
(534, 'Asthma', 'asthma emergency', '2024-03-06 18:14:30', '2024-03-06 18:14:30'),
(535, 'Asthma', 'blue/ grey puffer', '2024-03-06 18:14:34', '2024-03-06 18:14:34'),
(536, 'Asthma', 'no blue/grey puffer available', '2024-03-06 18:14:37', '2024-03-06 18:14:37'),
(537, 'Asthma', 'No spacer available', '2024-03-06 18:14:39', '2024-03-06 18:14:39'),
(538, 'Asthma', 'asthma attack', '2024-03-06 18:14:41', '2024-03-06 18:14:41'),
(539, 'Asthma', 'severe allergic reactions', '2024-03-06 18:14:44', '2024-03-06 18:14:44'),
(540, 'Asthma', 'causes in children', '2024-03-06 18:14:46', '2024-03-06 18:14:46'),
(541, 'Asthma', 'children at risk', '2024-03-06 18:14:49', '2024-03-06 18:14:49'),
(542, 'Asthma', 'Diagnosis in children', '2024-03-06 18:14:52', '2024-03-06 18:14:52'),
(543, 'Asthma', 'treatment in children', '2024-03-06 18:15:00', '2024-03-06 18:15:00'),
(544, 'Asthma', 'possible complications in children', '2024-03-06 18:15:02', '2024-03-06 18:15:02'),
(545, 'Asthma', 'prevention for children', '2024-03-06 18:15:07', '2024-03-06 18:15:07'),
(546, 'Asthma', 'Coping with asthma', '2024-03-06 18:15:10', '2024-03-06 18:15:10'),
(547, 'Asthma', 'calling a health care provider', '2024-03-06 18:15:12', '2024-03-06 18:15:12'),
(548, 'pneumonia', 'severe sign', '2024-03-06 18:15:15', '2024-03-06 18:15:15'),
(549, 'pneumonia', 'determing severity', '2024-03-06 18:15:17', '2024-03-06 18:15:17'),
(550, 'pneumonia', 'biggest concern', '2024-03-06 18:15:20', '2024-03-06 18:15:20'),
(551, 'pneumonia', 'most affected part', '2024-03-06 18:15:22', '2024-03-06 18:15:22'),
(552, 'pneumonia', 'Causes', '2024-03-06 18:15:24', '2024-03-06 18:15:24'),
(553, 'pneumonia', 'Fungal pneumonia', '2024-03-06 18:15:28', '2024-03-06 18:15:28'),
(554, 'pneumonia', 'viral pneumonia', '2024-03-06 18:15:31', '2024-03-06 18:15:31'),
(555, 'pneumonia', 'Bacterial pneumonia', '2024-03-06 18:15:33', '2024-03-06 18:15:33'),
(556, 'pneumonia', 'contagious', '2024-03-06 18:15:35', '2024-03-06 18:15:35'),
(557, 'pneumonia', 'contagious duration', '2024-03-06 18:15:38', '2024-03-06 18:15:38'),
(558, 'pneumonia', 'medical attention case', '2024-03-06 18:15:42', '2024-03-06 18:15:42'),
(559, 'pneumonia', 'diagnosis', '2024-03-06 18:15:45', '2024-03-06 18:15:45'),
(560, 'pneumonia', 'diagnotis test', '2024-03-06 18:15:47', '2024-03-06 18:15:47'),
(561, 'pneumonia', 'managing / handling symptoms', '2024-03-06 18:15:52', '2024-03-06 18:15:52'),
(562, 'pneumonia', 'high risk people', '2024-03-06 18:15:54', '2024-03-06 18:15:54'),
(563, 'pneumonia', 'complications', '2024-03-06 18:15:56', '2024-03-06 18:15:56'),
(564, 'pneumonia', 'prevention methods', '2024-03-06 18:16:03', '2024-03-06 18:16:03'),
(565, 'pneumonia', 'types of pneumonia', '2024-03-06 18:16:05', '2024-03-06 18:16:05'),
(566, 'pneumonia', 'cold climatic conditons', '2024-03-06 18:16:08', '2024-03-06 18:16:08'),
(567, 'pneumonia', 'fatality', '2024-03-06 18:16:10', '2024-03-06 18:16:10'),
(568, 'pneumonia', 'double pneumonia', '2024-03-06 18:16:12', '2024-03-06 18:16:12'),
(569, 'pneumonia', 'health disorders', '2024-03-06 18:16:14', '2024-03-06 18:16:14'),
(570, 'pneumonia', 'elderly people dosage', '2024-03-06 18:16:17', '2024-03-06 18:16:17'),
(571, 'pneumonia', 'breastfeeding', '2024-03-06 18:16:19', '2024-03-06 18:16:19'),
(572, 'pneumonia', 'helping food items', '2024-03-06 18:16:21', '2024-03-06 18:16:21'),
(573, 'pneumonia', 'most common bacteria', '2024-03-06 18:16:23', '2024-03-06 18:16:23'),
(574, 'pneumonia', 'causes in children', '2024-03-06 18:16:26', '2024-03-06 18:16:26'),
(575, 'pneumonia', 'children at risk', '2024-03-06 18:16:28', '2024-03-06 18:16:28'),
(576, 'pneumonia', 'child symptoms', '2024-03-06 18:16:32', '2024-03-06 18:16:32'),
(577, 'pneumonia', 'diagnosis in children', '2024-03-06 18:16:37', '2024-03-06 18:16:37'),
(578, 'pneumonia', 'treatment in children', '2024-03-06 18:16:39', '2024-03-06 18:16:39'),
(579, 'pneumonia', 'complications in children', '2024-03-06 18:16:41', '2024-03-06 18:16:41'),
(580, 'pneumonia', 'prevention in children', '2024-03-06 18:16:44', '2024-03-06 18:16:44'),
(581, 'pneumonia', 'ky points', '2024-03-06 18:16:51', '2024-03-06 18:16:51'),
(582, 'Bronchits', 'acute bronchitis', '2024-03-06 18:16:57', '2024-03-06 18:16:57'),
(583, 'Bronchits', 'chronic bronchitis', '2024-03-06 18:17:05', '2024-03-06 18:17:05'),
(584, 'Bronchits', 'causes of acute bronchitis', '2024-03-06 18:17:07', '2024-03-06 18:17:07'),
(585, 'Bronchits', 'causes of chronic bronchitis', '2024-03-06 18:17:10', '2024-03-06 18:17:10'),
(586, 'Bronchits', 'tests', '2024-03-06 18:17:13', '2024-03-06 18:17:13'),
(587, 'Bronchits', 'lab tests', '2024-03-06 18:17:15', '2024-03-06 18:17:15'),
(588, 'Bronchits', 'smoking', '2024-03-06 18:17:17', '2024-03-06 18:17:17'),
(589, 'Bronchits', 'bronchitis and pneumonia', '2024-03-06 18:17:20', '2024-03-06 18:17:20'),
(590, 'Bronchits', 'age groups', '2024-03-06 18:17:22', '2024-03-06 18:17:22'),
(591, 'Bronchits', 'shortness of breath', '2024-03-06 18:17:24', '2024-03-06 18:17:24'),
(592, 'Bronchits', 'antibiotics', '2024-03-06 18:17:27', '2024-03-06 18:17:27'),
(593, 'Bronchits', 'bed rest', '2024-03-06 18:17:29', '2024-03-06 18:17:29'),
(594, 'Bronchits', 'effect on the voice', '2024-03-06 18:17:31', '2024-03-06 18:17:31'),
(595, 'Bronchits', 'fatigue', '2024-03-06 18:17:33', '2024-03-06 18:17:33'),
(596, 'Bronchits', 'vaccine for bronchitis', '2024-03-06 18:17:36', '2024-03-06 18:17:36'),
(597, 'Bronchits', 'chest pain and bronchitis', '2024-03-06 18:17:38', '2024-03-06 18:17:38'),
(598, 'Bronchits', 'recurring condition', '2024-03-06 18:17:40', '2024-03-06 18:17:40'),
(599, 'Bronchits', 'physical exam', '2024-03-06 18:17:42', '2024-03-06 18:17:42'),
(600, 'Bronchits', 'sleep quality', '2024-03-06 18:17:45', '2024-03-06 18:17:45'),
(601, 'Bronchits', 'wheezing', '2024-03-06 18:17:47', '2024-03-06 18:17:47'),
(602, 'Bronchits', 'complication of the common cold', '2024-03-06 18:17:49', '2024-03-06 18:17:49'),
(603, 'Bronchits', 'bronchits and COPD', '2024-03-06 18:17:52', '2024-03-06 18:17:52'),
(604, 'Bronchits', 'over- the-counter cough medications', '2024-03-06 18:17:54', '2024-03-06 18:17:54'),
(605, 'Bronchits', 'dietary reccommendations', '2024-03-06 18:17:56', '2024-03-06 18:17:56'),
(606, 'Bronchits', 'sinus congestion', '2024-03-06 18:17:58', '2024-03-06 18:17:58'),
(607, 'Bronchits', 'ear infections', '2024-03-06 18:18:01', '2024-03-06 18:18:01'),
(608, 'Bronchits', 'Bronchitis and blood pressure', '2024-03-06 18:18:03', '2024-03-06 18:18:03'),
(609, 'Bronchits', 'untreated bronchitis', '2024-03-06 18:18:05', '2024-03-06 18:18:05'),
(610, 'Bronchits', 'sinus headaches', '2024-03-06 18:18:07', '2024-03-06 18:18:07'),
(611, 'Bronchits', 'certain medications and bronchitis', '2024-03-06 18:18:10', '2024-03-06 18:18:10'),
(612, 'Bronchits', 'sense of taste and smell', '2024-03-06 18:18:12', '2024-03-06 18:18:12'),
(613, 'Bronchits', 'environmental allegies and bronchitis', '2024-03-06 18:18:15', '2024-03-06 18:18:15'),
(614, 'Bronchits', 'Laryngitis', '2024-03-06 18:18:17', '2024-03-06 18:18:17'),
(615, 'Bronchits', 'heart palpitations', '2024-03-06 18:18:21', '2024-03-06 18:18:21'),
(616, 'Bronchits', 'effect on athletic performance', '2024-03-06 18:18:23', '2024-03-06 18:18:23'),
(617, 'Bronchits', 'stress and bronchitis', '2024-03-06 18:18:25', '2024-03-06 18:18:25'),
(618, 'Bronchits', 'Bronchitis and gastrointestinal symptoms', '2024-03-06 18:18:30', '2024-03-06 18:18:30'),
(619, 'Bronchits', 'bronchitis and joint pain', '2024-03-06 18:18:32', '2024-03-06 18:18:32'),
(620, 'Bronchits', 'Bronchitis and GERD', '2024-03-06 18:18:35', '2024-03-06 18:18:35'),
(621, 'Bronchits', 'Bronchitis and blood sugar levels', '2024-03-06 18:18:39', '2024-03-06 18:18:39'),
(622, 'Bronchits', 'Bronchitis and anxiety', '2024-03-06 18:18:41', '2024-03-06 18:18:41'),
(623, 'Bronchits', 'chronic bronchitis remedy', '2024-03-06 18:18:43', '2024-03-06 18:18:43'),
(624, 'Bronchits', 'medical case', '2024-03-06 18:18:45', '2024-03-06 18:18:45'),
(625, 'Bronchits', 'Bronchitis or pneumonia', '2024-03-06 18:18:48', '2024-03-06 18:18:48'),
(626, 'Bronchits', 'Child bronchitis', '2024-03-06 18:18:51', '2024-03-06 18:18:51'),
(627, 'Bronchits', 'child symptoms', '2024-03-06 18:18:53', '2024-03-06 18:18:53'),
(628, 'Bronchits', 'child symptom duration', '2024-03-06 18:18:55', '2024-03-06 18:18:55'),
(629, 'Bronchits', 'child diagnosis', '2024-03-06 18:18:58', '2024-03-06 18:18:58'),
(630, 'Bronchits', 'child complications', '2024-03-06 18:19:00', '2024-03-06 18:19:00'),
(631, 'Bronchits', 'prevention in children', '2024-03-06 18:19:03', '2024-03-06 18:19:03'),
(632, 'Bronchits', 'medical call for child', '2024-03-06 18:19:05', '2024-03-06 18:19:05'),
(633, 'Bronchits', 'key point in children', '2024-03-06 18:19:07', '2024-03-06 18:19:07'),
(634, 'Bronchits', 'children at risk', '2024-03-06 18:19:10', '2024-03-06 18:19:10'),
(635, 'Bronchits', 'Causes in children', '2024-03-06 18:19:15', '2024-03-06 18:19:15'),
(636, 'Tuberculosis', 'survival for children', '2024-03-06 18:19:18', '2024-03-06 18:19:18'),
(637, 'Tuberculosis', 'rate of acquiring', '2024-03-06 18:19:20', '2024-03-06 18:19:20'),
(638, 'Tuberculosis', 'vaccine', '2024-03-06 18:19:22', '2024-03-06 18:19:22'),
(639, 'Tuberculosis', 'children at risk', '2024-03-06 18:19:25', '2024-03-06 18:19:25'),
(640, 'Tuberculosis', 'diagnosis in children', '2024-03-06 18:19:30', '2024-03-06 18:19:30'),
(641, 'Tuberculosis', 'Treatment in children', '2024-03-06 18:19:32', '2024-03-06 18:19:32'),
(642, 'Tuberculosis', 'calling a health care provider', '2024-03-06 18:19:37', '2024-03-06 18:19:37'),
(643, 'Tuberculosis', 'Keypoints', '2024-03-06 18:19:40', '2024-03-06 18:19:40'),
(644, 'Tuberculosis', 'stages of tuberculosis', '2024-03-06 18:19:44', '2024-03-06 18:19:44'),
(645, 'Tuberculosis', 'causes in children', '2024-03-06 18:19:47', '2024-03-06 18:19:47'),
(646, 'Tuberculosis', 'effect on other organs', '2024-03-06 18:19:49', '2024-03-06 18:19:49'),
(647, 'Tuberculosis', 'drug- resistant tuberculosis', '2024-03-06 18:19:53', '2024-03-06 18:19:53'),
(648, 'Tuberculosis', 'common areas', '2024-03-06 18:19:56', '2024-03-06 18:19:56'),
(649, 'Tuberculosis', 'latent tuberculosis', '2024-03-06 18:19:58', '2024-03-06 18:19:58'),
(650, 'Tuberculosis', 'transmission through utensils', '2024-03-06 18:20:00', '2024-03-06 18:20:00'),
(651, 'Tuberculosis', 'transmission through sexual contact', '2024-03-06 18:20:04', '2024-03-06 18:20:04'),
(652, 'Tuberculosis', 'HIV/AIDS', '2024-03-06 18:20:08', '2024-03-06 18:20:08'),
(653, 'Tuberculosis', 'Asymptomatic', '2024-03-06 18:20:10', '2024-03-06 18:20:10'),
(654, 'Tuberculosis', 'joint pain', '2024-03-06 18:20:13', '2024-03-06 18:20:13'),
(655, 'Tuberculosis', 'routine blood test', '2024-03-06 18:20:16', '2024-03-06 18:20:16'),
(656, 'Tuberculosis', 'Contagious', '2024-03-06 18:20:18', '2024-03-06 18:20:18'),
(657, 'Tuberculosis', 'single antibiotic treatment', '2024-03-06 18:20:22', '2024-03-06 18:20:22'),
(658, 'Tuberculosis', 'cured without completing full course of treatment', '2024-03-06 18:20:24', '2024-03-06 18:20:24'),
(659, 'Tuberculosis', 'children', '2024-03-06 18:20:27', '2024-03-06 18:20:27'),
(660, 'Tuberculosis', 'TB and skin rashes', '2024-03-06 18:20:29', '2024-03-06 18:20:29'),
(661, 'Tuberculosis', 'Breastfeeding', '2024-03-06 18:20:31', '2024-03-06 18:20:31'),
(662, 'Tuberculosis', 'transmission to unborn baby', '2024-03-06 18:20:37', '2024-03-06 18:20:37'),
(663, 'Tuberculosis', 'life after treatment', '2024-03-06 18:20:39', '2024-03-06 18:20:39'),
(664, 'Tuberculosis', 'Skin rashes', '2024-03-06 18:20:41', '2024-03-06 18:20:41'),
(665, 'Tuberculosis', 'transmission through food and water', '2024-03-06 18:20:44', '2024-03-06 18:20:44'),
(666, 'Tuberculosis', 'TB and hearing loss', '2024-03-06 18:20:46', '2024-03-06 18:20:46'),
(667, 'Tuberculosis', 'effect on eyes', '2024-03-06 18:20:48', '2024-03-06 18:20:48'),
(668, 'Tuberculosis', 'transmission through blood transfussion', '2024-03-06 18:20:50', '2024-03-06 18:20:50'),
(669, 'Tuberculosis', 'abdominal pain', '2024-03-06 18:20:52', '2024-03-06 18:20:52'),
(670, 'Tuberculosis', 'reinfection after treatment', '2024-03-06 18:20:55', '2024-03-06 18:20:55'),
(671, 'Tuberculosis', 'transmission through organ transplant', '2024-03-06 18:20:57', '2024-03-06 18:20:57'),
(672, 'Tuberculosis', 'persistent cough', '2024-03-06 18:21:17', '2024-03-06 18:21:17'),
(673, 'Tuberculosis', 'life expectancy', '2024-03-06 18:21:19', '2024-03-06 18:21:19'),
(674, 'Tuberculosis', 'transmission through respiratory therapy devices', '2024-03-06 18:21:22', '2024-03-06 18:21:22'),
(675, 'Tuberculosis', 'transmission through dental procedures', '2024-03-06 18:21:24', '2024-03-06 18:21:24'),
(676, 'Tuberculosis', 'effecton the liver', '2024-03-06 18:21:26', '2024-03-06 18:21:26'),
(677, 'Tuberculosis', 'transmission through respiratory droplets', '2024-03-06 18:21:31', '2024-03-06 18:21:31'),
(678, 'Tuberculosis', 'transmission through public restrooms', '2024-03-06 18:21:37', '2024-03-06 18:21:37'),
(679, 'Tuberculosis', 'blood donation', '2024-03-06 18:21:40', '2024-03-06 18:21:40'),
(680, 'Tuberculosis', 'transmission through personal hygiene items', '2024-03-06 18:21:43', '2024-03-06 18:21:43'),
(681, 'Tuberculosis', 'transmission through nail salons', '2024-03-06 18:21:50', '2024-03-06 18:21:50'),
(682, 'Tuberculosis', 'transmission through coughing or sneezing', '2024-03-06 18:21:53', '2024-03-06 18:21:53'),
(683, 'Tuberculosis', 'transmission through insect bites', '2024-03-06 18:21:56', '2024-03-06 18:21:56'),
(684, 'Tuberculosis', 'diabetes', '2024-03-06 18:22:01', '2024-03-06 18:22:01'),
(685, 'Tuberculosis', 'transmission through breastfeeding', '2024-03-06 18:22:04', '2024-03-06 18:22:04'),
(686, 'Tuberculosis', 'transmission through tears or eye contact', '2024-03-06 18:22:08', '2024-03-06 18:22:08'),
(687, 'Tuberculosis', 'travelling', '2024-03-06 18:22:12', '2024-03-06 18:22:12'),
(688, 'Tuberculosis', 'transmission through tattoos', '2024-03-06 18:22:14', '2024-03-06 18:22:14'),
(689, 'Tuberculosis', 'transmission through resppiratory droplets', '2024-03-06 18:22:16', '2024-03-06 18:22:16'),
(690, 'LRTI', 'meaning', '2024-03-06 18:22:18', '2024-03-06 18:22:18'),
(691, 'LRTI', 'definition', '2024-03-06 18:22:21', '2024-03-06 18:22:21'),
(692, 'LRTI', 'risk factors', '2024-03-06 18:22:23', '2024-03-06 18:22:23'),
(693, 'LRTI', 'causes', '2024-03-06 18:22:25', '2024-03-06 18:22:25'),
(694, 'LRTI', 'recovery time', '2024-03-06 18:22:27', '2024-03-06 18:22:27'),
(695, 'LRTI', 'Examples', '2024-03-06 18:22:30', '2024-03-06 18:22:30'),
(696, 'LRTI', 'symptoms', '2024-03-06 18:22:33', '2024-03-06 18:22:33'),
(697, 'LRTI', 'diagnosis', '2024-03-06 18:22:35', '2024-03-06 18:22:35'),
(698, 'LRTI', 'contagious', '2024-03-06 18:22:37', '2024-03-06 18:22:37'),
(699, 'LRTI', 'common areas', '2024-03-06 18:22:40', '2024-03-06 18:22:40'),
(700, 'LRTI', 'prevention', '2024-03-06 18:22:43', '2024-03-06 18:22:43'),
(701, 'LRTI', 'antibiotic treatment', '2024-03-06 18:22:45', '2024-03-06 18:22:45'),
(702, 'LRTI', 'smoking', '2024-03-06 18:22:47', '2024-03-06 18:22:47'),
(703, 'LRTI', 'complications', '2024-03-06 18:22:50', '2024-03-06 18:22:50'),
(704, 'LRTI', 'lung damage', '2024-03-06 18:22:52', '2024-03-06 18:22:52'),
(705, 'LRTI', 'reinfection', '2024-03-06 18:22:55', '2024-03-06 18:22:55'),
(706, 'LRTI', 'flu vaccines', '2024-03-06 18:22:57', '2024-03-06 18:22:57'),
(707, 'LRTI', 'transmission', '2024-03-06 18:23:00', '2024-03-06 18:23:00'),
(708, 'LRTI', 'seeking help', '2024-03-06 18:23:02', '2024-03-06 18:23:02'),
(709, 'LRTI', 'severity in indiviauls', '2024-03-06 18:23:05', '2024-03-06 18:23:05'),
(710, 'LRTI', 'antibiotics', '2024-03-06 18:23:07', '2024-03-06 18:23:07'),
(711, 'LRTI', 'self diagnosis an treatment', '2024-03-06 18:23:09', '2024-03-06 18:23:09'),
(712, 'LRTI', 'chronic outcomes', '2024-03-06 18:23:13', '2024-03-06 18:23:13'),
(713, 'LRTI', 'lifestyle', '2024-03-06 18:23:15', '2024-03-06 18:23:15'),
(714, 'LRTI', 'environmental pollutants', '2024-03-06 18:23:19', '2024-03-06 18:23:19'),
(715, 'LRTI', 'allergies', '2024-03-06 18:23:22', '2024-03-06 18:23:22'),
(716, 'LRTI', 'antiviral medications', '2024-03-06 18:23:24', '2024-03-06 18:23:24'),
(717, 'LRTI', 'pregnancy an LRTI', '2024-03-06 18:23:26', '2024-03-06 18:23:26'),
(718, 'LRTI', 'dietary recommendation', '2024-03-06 18:23:29', '2024-03-06 18:23:29'),
(719, 'LRTI', 'risk of antibiotic resistance', '2024-03-06 18:23:31', '2024-03-06 18:23:31'),
(720, 'LRTI', 'pleurisy', '2024-03-06 18:23:33', '2024-03-06 18:23:33'),
(721, 'LRTI', 'masks and prevention', '2024-03-06 18:23:35', '2024-03-06 18:23:35'),
(722, 'LRTI', 'transmission by pets', '2024-03-06 18:23:39', '2024-03-06 18:23:39'),
(723, 'LRTI', 'managing LRTIs', '2024-03-06 18:23:41', '2024-03-06 18:23:41'),
(724, 'LRTI', 'COVID-19', '2024-03-06 18:23:45', '2024-03-06 18:23:45'),
(725, 'LRTI', 'travelling', '2024-03-06 18:23:48', '2024-03-06 18:23:48'),
(726, 'LRTI', 'support groups', '2024-03-06 18:23:50', '2024-03-06 18:23:50'),
(727, 'LRTI', 'pathogens', '2024-03-06 18:23:52', '2024-03-06 18:23:52'),
(728, 'LRTI', 'corticosteroid role', '2024-03-06 18:23:54', '2024-03-06 18:23:54'),
(729, 'LRTI', 'GERD and lower respiratory tract infections', '2024-03-06 18:23:57', '2024-03-06 18:23:57'),
(730, 'LRTI', 'organ transplant', '2024-03-06 18:23:59', '2024-03-06 18:23:59'),
(731, 'LRTI', 'home remedies', '2024-03-06 18:24:02', '2024-03-06 18:24:02'),
(732, 'LRTI', 'pleural effusion', '2024-03-06 18:24:04', '2024-03-06 18:24:04'),
(733, 'LRTI', 'environmental allergies', '2024-03-06 18:24:06', '2024-03-06 18:24:06'),
(734, 'LRTI', 'ARDS', '2024-03-06 18:24:09', '2024-03-06 18:24:09'),
(735, 'LRTI', 'Influenza vaccine', '2024-03-06 18:24:11', '2024-03-06 18:24:11'),
(736, 'LRTI', 'heart-related complications', '2024-03-06 18:24:13', '2024-03-06 18:24:13'),
(737, 'LRTI', 'specific recommendations', '2024-03-06 18:24:15', '2024-03-06 18:24:15'),
(738, 'LRTI', 'Occupational exposures', '2024-03-06 18:24:18', '2024-03-06 18:24:18'),
(739, 'LRTI', 'sense of taste and smell', '2024-03-06 18:24:20', '2024-03-06 18:24:20'),
(740, 'LRTI', 'air pollution impact', '2024-03-06 18:24:22', '2024-03-06 18:24:22'),
(741, 'LRTI', 'managing lower respiratory', '2024-03-06 18:24:24', '2024-03-06 18:24:24'),
(742, 'LRTI', 'chronic bronchitis', '2024-03-06 18:24:26', '2024-03-06 18:24:26'),
(743, 'LRTI', 'alternative therapies', '2024-03-06 18:24:29', '2024-03-06 18:24:29'),
(744, 'LRTI', 'autoimunne disease', '2024-03-06 18:24:31', '2024-03-06 18:24:31'),
(745, 'LRTI', 'sleep patterns', '2024-03-06 18:24:33', '2024-03-06 18:24:33'),
(746, 'LRTI', 'consequences', '2024-03-06 18:24:35', '2024-03-06 18:24:35'),
(747, 'Covid', 'waste water testing', '2024-03-06 18:25:51', '2024-03-06 18:25:51'),
(748, 'Covid', 'contact with urine, faeces or sewage', '2024-03-06 18:25:54', '2024-03-06 18:25:54'),
(749, 'Covid', 'contraction through swimming', '2024-03-06 18:25:55', '2024-03-06 18:25:55'),
(750, 'Covid', 'drinking water', '2024-03-06 18:25:56', '2024-03-06 18:25:56'),
(751, 'Covid', 'waste water testing and low- resource setting', '2024-03-06 18:25:58', '2024-03-06 18:25:58'),
(752, 'Covid', 'Environmental surveillance recommendation', '2024-03-06 18:25:59', '2024-03-06 18:25:59'),
(753, 'Covid', 'food businesses', '2024-03-06 18:26:00', '2024-03-06 18:26:00'),
(754, 'Covid', 'grocery store workers', '2024-03-06 18:26:01', '2024-03-06 18:26:01'),
(755, 'Covid', 'protocol after falling sick', '2024-03-06 18:26:04', '2024-03-06 18:26:04'),
(756, 'Covid', 'return to work', '2024-03-06 18:26:05', '2024-03-06 18:26:05'),
(757, 'Covid', 'temperature checks', '2024-03-06 18:26:06', '2024-03-06 18:26:06'),
(758, 'Covid', 'precautions for food workers', '2024-03-06 18:26:08', '2024-03-06 18:26:08'),
(759, 'Covid', 'safe distance between employees', '2024-03-06 18:26:09', '2024-03-06 18:26:09'),
(760, 'Covid', 'Disinfecting trolleys and shopping carts', '2024-03-06 18:26:11', '2024-03-06 18:26:11'),
(761, 'Covid', 'appropriate sanitizer', '2024-03-06 18:26:12', '2024-03-06 18:26:12'),
(762, 'Covid', 'transmission', '2024-03-06 18:26:13', '2024-03-06 18:26:13'),
(763, 'Covid', 'measures to ensure safe transport', '2024-03-06 18:26:15', '2024-03-06 18:26:15'),
(764, 'Covid', 'measures for safe water', '2024-03-06 18:26:16', '2024-03-06 18:26:16'),
(765, 'Covid', 'cleaning of food premises', '2024-03-06 18:26:17', '2024-03-06 18:26:17'),
(766, 'Covid', 'household care', '2024-03-06 18:26:18', '2024-03-06 18:26:18'),
(767, 'Covid', 'high risk people', '2024-03-06 18:26:19', '2024-03-06 18:26:19'),
(768, 'Covid', 'isolation duration', '2024-03-06 18:26:21', '2024-03-06 18:26:21'),
(769, 'Covid', 'asymptomatic and pre-syptomatic', '2024-03-06 18:26:22', '2024-03-06 18:26:22'),
(770, 'Covid', 'reducing risk of infection', '2024-03-06 18:26:24', '2024-03-06 18:26:24'),
(771, 'Covid', 'high risk settings for infection', '2024-03-06 18:26:25', '2024-03-06 18:26:25'),
(772, 'Covid', 'when infected people transmit', '2024-03-06 18:26:26', '2024-03-06 18:26:26'),
(773, 'Covid', 'care for infected person', '2024-03-06 18:26:27', '2024-03-06 18:26:27'),
(774, 'Covid', 'drug', '2024-03-06 18:26:30', '2024-03-06 18:26:30'),
(775, 'Covid', 'older people', '2024-03-06 18:26:31', '2024-03-06 18:26:31'),
(776, 'Covid', 'healthy living', '2024-03-06 18:26:36', '2024-03-06 18:26:36'),
(777, 'Covid', 'having symptoms', '2024-03-06 18:26:37', '2024-03-06 18:26:37'),
(778, 'Covid', 'losing a loved one', '2024-03-06 18:26:39', '2024-03-06 18:26:39'),
(779, 'Covid', 'precautions of visiting', '2024-03-06 18:26:41', '2024-03-06 18:26:41'),
(780, 'Covid', 'Serology', '2024-03-06 18:26:42', '2024-03-06 18:26:42'),
(781, 'Covid', 'molecular testing and serologic testing', '2024-03-06 18:26:44', '2024-03-06 18:26:44'),
(782, 'Covid', 'purpose of serologic testing', '2024-03-06 18:26:48', '2024-03-06 18:26:48'),
(783, 'Covid', 're-infection', '2024-03-06 18:26:51', '2024-03-06 18:26:51'),
(784, 'Covid', 'herd immunity', '2024-03-06 18:26:56', '2024-03-06 18:26:56'),
(785, 'Covid', 'likelihood of occureance in children', '2024-03-06 18:26:58', '2024-03-06 18:26:58'),
(786, 'Covid', 'children at risk', '2024-03-06 18:26:59', '2024-03-06 18:26:59'),
(787, 'Covid', 'calling a health personel', '2024-03-06 18:27:00', '2024-03-06 18:27:00'),
(788, 'Covid', 'symtoms in children', '2024-03-06 18:27:01', '2024-03-06 18:27:01'),
(789, 'Covid', 'Multisystem Inflammatory Syndrome in Children (MIS-C)', '2024-03-06 18:27:03', '2024-03-06 18:27:03'),
(790, 'Covid', 'protection against MIS-C', '2024-03-06 18:27:04', '2024-03-06 18:27:04'),
(791, 'Covid', 'what to do', '2024-03-06 18:27:06', '2024-03-06 18:27:06'),
(792, 'Covid', 'signs and symptoms of MIS-C', '2024-03-06 18:27:07', '2024-03-06 18:27:07'),
(793, 'COPD', 'Living with COPD', '2024-03-06 18:27:08', '2024-03-06 18:27:08'),
(794, 'COPD', 'Causes', '2024-03-06 18:27:09', '2024-03-06 18:27:09'),
(795, 'COPD', 'problems', '2024-03-06 18:27:11', '2024-03-06 18:27:11'),
(796, 'COPD', 'way foward', '2024-03-06 18:27:12', '2024-03-06 18:27:12'),
(797, 'COPD', 'operation of lungs', '2024-03-06 18:27:13', '2024-03-06 18:27:13'),
(798, 'COPD', 'definition', '2024-03-06 18:27:14', '2024-03-06 18:27:14'),
(799, 'COPD', 'exercise', '2024-03-06 18:27:15', '2024-03-06 18:27:15'),
(800, 'COPD', 'change of symptoms', '2024-03-06 18:27:17', '2024-03-06 18:27:17'),
(801, 'Tuberculosis', 'tuberculosis cause', '2024-04-18 09:44:10', '2024-04-18 09:44:10'),
(802, 'Tuberculosis', 'infertility', '2024-04-18 09:44:11', '2024-04-18 09:44:11'),
(803, 'Tuberculosis', 'diagnosis', '2024-04-18 09:44:12', '2024-04-18 09:44:12'),
(804, 'Tuberculosis', 'active TB diagnosis', '2024-04-18 09:44:13', '2024-04-18 09:44:13'),
(805, 'Tuberculosis', 'DOT', '2024-04-18 09:44:15', '2024-04-18 09:44:15'),
(806, 'Tuberculosis', 'Sexual transmission', '2024-04-18 09:44:16', '2024-04-18 09:44:16'),
(807, 'Tuberculosis', 'transmission through utensils and kissing', '2024-04-18 09:44:17', '2024-04-18 09:44:17'),
(808, 'Tuberculosis', 'adults and vaccination', '2024-04-18 09:44:18', '2024-04-18 09:44:18'),
(809, 'Tuberculosis', 'BCG vaccine usage', '2024-04-18 09:44:19', '2024-04-18 09:44:19'),
(810, 'Tuberculosis', 'BCG and immunity', '2024-04-18 09:44:21', '2024-04-18 09:44:21'),
(811, 'Tuberculosis', 'vaccine for TB', '2024-04-18 09:44:23', '2024-04-18 09:44:23'),
(812, 'Tuberculosis', 'TB and AIDS', '2024-04-18 09:44:24', '2024-04-18 09:44:24'),
(813, 'Tuberculosis', 'Tuberculosis and AIDS', '2024-04-18 09:44:25', '2024-04-18 09:44:25'),
(814, 'Tuberculosis', 'death', '2024-04-18 09:44:26', '2024-04-18 09:44:26'),
(815, 'Tuberculosis', 'lung cancer', '2024-04-18 09:44:29', '2024-04-18 09:44:29'),
(816, 'Tuberculosis', 'transmission through feces', '2024-04-18 09:44:33', '2024-04-18 09:44:33'),
(817, 'Tuberculosis', 'transmission through faeces', '2024-04-18 09:44:34', '2024-04-18 09:44:34'),
(818, 'Tuberculosis', 'transmission through poop', '2024-04-18 09:44:35', '2024-04-18 09:44:35'),
(819, 'Tuberculosis', 're-occurrence', '2024-04-18 09:44:36', '2024-04-18 09:44:36'),
(820, 'Tuberculosis', 'TB and the GIT', '2024-04-18 09:44:37', '2024-04-18 09:44:37'),
(821, 'Tuberculosis', 'TB and the kidney', '2024-04-18 09:44:38', '2024-04-18 09:44:38'),
(822, 'Tuberculosis', 'kidney issues', '2024-04-18 09:44:39', '2024-04-18 09:44:39'),
(823, 'Tuberculosis', 'liver problems', '2024-04-18 09:44:40', '2024-04-18 09:44:40'),
(824, 'Tuberculosis', 'TB and the liver', '2024-04-18 09:44:41', '2024-04-18 09:44:41'),
(825, 'Tuberculosis', 'heart problems', '2024-04-18 09:44:42', '2024-04-18 09:44:42'),
(826, 'Tuberculosis', 'TB and the heart', '2024-04-18 09:44:43', '2024-04-18 09:44:43'),
(827, 'Tuberculosis', 'diabetes and TB', '2024-04-18 09:44:44', '2024-04-18 09:44:44'),
(828, 'Tuberculosis', 'diet', '2024-04-18 09:44:47', '2024-04-18 09:44:47'),
(829, 'Tuberculosis', 'foods', '2024-04-18 09:44:52', '2024-04-18 09:44:52'),
(830, 'Tuberculosis', 'side effects', '2024-04-18 09:44:53', '2024-04-18 09:44:53'),
(831, 'Tuberculosis', 'drug- resistant TB', '2024-04-18 09:44:57', '2024-04-18 09:44:57'),
(832, 'Tuberculosis', 'treatment of XDR', '2024-04-18 09:44:58', '2024-04-18 09:44:58'),
(833, 'Tuberculosis', 'effects of XDR', '2024-04-18 09:44:59', '2024-04-18 09:44:59'),
(834, 'Tuberculosis', 'HIV positive people', '2024-04-18 09:45:00', '2024-04-18 09:45:00'),
(835, 'Tuberculosis', 'pregnant women', '2024-04-18 09:45:03', '2024-04-18 09:45:03'),
(836, 'Tuberculosis', 'TDR TB', '2024-04-18 09:45:05', '2024-04-18 09:45:05'),
(837, 'Tuberculosis', 'drug resistant TB', '2024-04-18 09:45:08', '2024-04-18 09:45:08'),
(838, 'Tuberculosis', 'drug resistant TB causes', '2024-04-18 09:45:11', '2024-04-18 09:45:11'),
(839, 'Tuberculosis', 'drug resistant TB treatment', '2024-04-18 09:45:13', '2024-04-18 09:45:13'),
(840, 'Tuberculosis', 'malnutrition', '2024-04-18 09:45:14', '2024-04-18 09:45:14'),
(841, 'Tuberculosis', 'malnutrtion', '2024-04-18 09:45:18', '2024-04-18 09:45:18'),
(842, 'Tuberculosis', 'pregnancy complications', '2024-04-18 09:45:19', '2024-04-18 09:45:19'),
(843, 'Tuberculosis', 'Effect on the spine', '2024-04-18 09:45:20', '2024-04-18 09:45:20'),
(844, 'Tuberculosis', 'infertility in males', '2024-04-18 09:45:21', '2024-04-18 09:45:21'),
(845, 'Tuberculosis', 'male infertity', '2024-04-18 09:45:22', '2024-04-18 09:45:22'),
(846, 'Tuberculosis', 'female infertilty', '2024-04-18 09:45:23', '2024-04-18 09:45:23'),
(847, 'Tuberculosis', 'lung fibrosis', '2024-04-18 09:45:25', '2024-04-18 09:45:25'),
(848, 'Tuberculosis', 'TB and sepsis', '2024-04-18 09:45:26', '2024-04-18 09:45:26'),
(849, 'Tuberculosis', 'tubercullosis and fatigue', '2024-04-18 09:45:28', '2024-04-18 09:45:28'),
(850, 'Tuberculosis', 'smoking and TB', '2024-04-18 09:45:29', '2024-04-18 09:45:29'),
(851, 'Tuberculosis', 'common', '2024-04-18 09:45:38', '2024-04-18 09:45:38'),
(852, 'Tuberculosis', 'classification', '2024-04-18 09:45:40', '2024-04-18 09:45:40'),
(853, 'Tuberculosis', 'occurence', '2024-04-18 09:45:48', '2024-04-18 09:45:48'),
(854, 'Tuberculosis', 'lymphadenitis', '2024-04-18 09:45:51', '2024-04-18 09:45:51'),
(855, 'Tuberculosis', 'scarring', '2024-04-18 09:45:52', '2024-04-18 09:45:52'),
(856, 'Pneumonia', 'CAP', '2024-04-18 09:46:01', '2024-04-18 09:46:01'),
(857, 'Pneumonia', 'HAP', '2024-04-18 09:46:03', '2024-04-18 09:46:03'),
(858, 'Pneumonia', 'VAP', '2024-04-18 09:46:07', '2024-04-18 09:46:07'),
(859, 'Pneumonia', 'seriousness', '2024-04-18 09:46:09', '2024-04-18 09:46:09'),
(860, 'Pneumonia', 'contagiousness', '2024-04-18 09:46:10', '2024-04-18 09:46:10'),
(861, 'Pneumonia', 'types', '2024-04-18 09:46:11', '2024-04-18 09:46:11'),
(862, 'Pneumonia', 'lung scarring', '2024-04-18 09:46:15', '2024-04-18 09:46:15'),
(863, 'Pneumonia', 'confusion', '2024-04-18 09:46:16', '2024-04-18 09:46:16'),
(864, 'Pneumonia', 'Dehhydration', '2024-04-18 09:46:17', '2024-04-18 09:46:17'),
(865, 'Pneumonia', 'Nausea and vomiting', '2024-04-18 09:46:18', '2024-04-18 09:46:18'),
(866, 'Pneumonia', 'sore throat', '2024-04-18 09:46:20', '2024-04-18 09:46:20'),
(867, 'Pneumonia', 'back pain', '2024-04-18 09:46:21', '2024-04-18 09:46:21'),
(868, 'Pneumonia', 'oxygen level', '2024-04-18 09:46:22', '2024-04-18 09:46:22'),
(869, 'Pneumonia', 'high blood pressure', '2024-04-18 09:46:23', '2024-04-18 09:46:23'),
(870, 'Pneumonia', 'Night sweats', '2024-04-18 09:46:25', '2024-04-18 09:46:25'),
(871, 'Pneumonia', 'difficulty in breathing', '2024-04-18 09:46:26', '2024-04-18 09:46:26'),
(872, 'Pneumonia', 'wheezing', '2024-04-18 09:46:27', '2024-04-18 09:46:27'),
(873, 'Pneumonia', 'rash', '2024-04-18 09:46:28', '2024-04-18 09:46:28'),
(874, 'Pneumonia', 'swollen lymph nodes', '2024-04-18 09:46:30', '2024-04-18 09:46:30'),
(875, 'Pneumonia', 'blood in urine', '2024-04-18 09:46:31', '2024-04-18 09:46:31'),
(876, 'Pneumonia', 'apetite loss', '2024-04-18 09:46:32', '2024-04-18 09:46:32'),
(877, 'Pneumonia', 'muscle weakness', '2024-04-18 09:46:33', '2024-04-18 09:46:33'),
(878, 'Pneumonia', 'excessive sweating', '2024-04-18 09:46:34', '2024-04-18 09:46:34'),
(879, 'Pneumonia', 'pleurisy', '2024-04-18 09:46:35', '2024-04-18 09:46:35'),
(880, 'Pneumonia', 'hives', '2024-04-18 09:46:36', '2024-04-18 09:46:36'),
(881, 'Pneumonia', 'blood clots', '2024-04-18 09:46:37', '2024-04-18 09:46:37'),
(882, 'Pneumonia', 'hair loss', '2024-04-18 09:46:38', '2024-04-18 09:46:38'),
(883, 'Pneumonia', 'heart palpitations', '2024-04-18 09:46:40', '2024-04-18 09:46:40'),
(884, 'Pneumonia', 'pneumonia and depression', '2024-04-18 09:46:41', '2024-04-18 09:46:41'),
(885, 'Pneumonia', 'sinus congestion', '2024-04-18 09:46:42', '2024-04-18 09:46:42'),
(886, 'Pneumonia', 'mouth sores', '2024-04-18 09:46:43', '2024-04-18 09:46:43'),
(887, 'Pneumonia', 'swollen ankles', '2024-04-18 09:46:44', '2024-04-18 09:46:44'),
(888, 'Pneumonia', 'mucus color', '2024-04-18 09:46:46', '2024-04-18 09:46:46'),
(889, 'Pneumonia', 'fatigue after recovery', '2024-04-18 09:46:47', '2024-04-18 09:46:47'),
(890, 'Pneumonia', 'recurring infections', '2024-04-18 09:46:48', '2024-04-18 09:46:48'),
(891, 'Pneumonia', 'weight loss', '2024-04-18 09:46:49', '2024-04-18 09:46:49'),
(892, 'Pneumonia', 'persistent fever', '2024-04-18 09:46:50', '2024-04-18 09:46:50'),
(893, 'Pneumonia', 'sore tongue', '2024-04-18 09:46:51', '2024-04-18 09:46:51'),
(894, 'Pneumonia', 'Swollen tonsils', '2024-04-18 09:46:52', '2024-04-18 09:46:52'),
(895, 'Pneumonia', 'red eyes', '2024-04-18 09:46:53', '2024-04-18 09:46:53'),
(896, 'Pneumonia', 'shaking chills', '2024-04-18 09:46:56', '2024-04-18 09:46:56'),
(897, 'Pneumonia', 'productive cough', '2024-04-18 09:46:57', '2024-04-18 09:46:57'),
(898, 'Pneumonia', 'cyanosis', '2024-04-18 09:46:59', '2024-04-18 09:46:59'),
(899, 'Pneumonia', 'nail clubbing', '2024-04-18 09:47:00', '2024-04-18 09:47:00'),
(900, 'Pneumonia', 'runny nose', '2024-04-18 09:47:01', '2024-04-18 09:47:01'),
(901, 'Pneumonia', 'diarrhoea', '2024-04-18 09:47:02', '2024-04-18 09:47:02'),
(902, 'Pneumonia', 'vomiting', '2024-04-18 09:47:03', '2024-04-18 09:47:03'),
(903, 'Pneumonia', 'malaise', '2024-04-18 09:47:04', '2024-04-18 09:47:04'),
(904, 'Pneumonia', 'lethargy', '2024-04-18 09:47:05', '2024-04-18 09:47:05'),
(905, 'Pneumonia', 'Photophobia', '2024-04-18 09:47:06', '2024-04-18 09:47:06'),
(906, 'Pneumonia', 'chest tightness', '2024-04-18 09:47:08', '2024-04-18 09:47:08'),
(907, 'Pneumonia', 'sxual contact', '2024-04-18 09:47:09', '2024-04-18 09:47:09'),
(908, 'Pneumonia', 'food and liquids', '2024-04-18 09:47:10', '2024-04-18 09:47:10'),
(909, 'Pneumonia', 'loss of smell or taste', '2024-04-18 09:47:11', '2024-04-18 09:47:11'),
(910, 'Pneumonia', 'hoarse voice', '2024-04-18 09:47:12', '2024-04-18 09:47:12'),
(911, 'Pneumonia', 'difficulty in swallowing', '2024-04-18 09:47:13', '2024-04-18 09:47:13'),
(912, 'Pneumonia', 'chest burning', '2024-04-18 09:47:15', '2024-04-18 09:47:15'),
(913, 'Pneumonia', 'skin discoloration', '2024-04-18 09:47:16', '2024-04-18 09:47:16'),
(914, 'Pneumonia', 'sleep disturbances', '2024-04-18 09:47:17', '2024-04-18 09:47:17'),
(915, 'Pneumonia', 'mood changes', '2024-04-18 09:47:19', '2024-04-18 09:47:19'),
(916, 'Pneumonia', 'hallucinations', '2024-04-18 09:47:20', '2024-04-18 09:47:20'),
(917, 'Pneumonia', 'urinary symptoms', '2024-04-18 09:47:21', '2024-04-18 09:47:21'),
(918, 'Pneumonia', 'joint swelling', '2024-04-18 09:47:22', '2024-04-18 09:47:22'),
(919, 'Pneumonia', 'chest rattling', '2024-04-18 09:47:23', '2024-04-18 09:47:23'),
(920, 'Pneumonia', 'abdominal bloating', '2024-04-18 09:47:24', '2024-04-18 09:47:24'),
(921, 'Pneumonia', 'difficulty in speaking', '2024-04-18 09:47:25', '2024-04-18 09:47:25'),
(922, 'Pneumonia', 'fainting', '2024-04-18 09:47:26', '2024-04-18 09:47:26'),
(923, 'Pneumonia', 'neck pain', '2024-04-18 09:47:27', '2024-04-18 09:47:27'),
(924, 'Pneumonia', 'rapid heartbeat', '2024-04-18 09:47:28', '2024-04-18 09:47:28'),
(925, 'Pneumonia', 'difficulty in concetrating', '2024-04-18 09:47:29', '2024-04-18 09:47:29'),
(926, 'Pneumonia', 'swolen tonsils and lymph nodes', '2024-04-18 09:47:31', '2024-04-18 09:47:31'),
(927, 'Pneumonia', 'cold hands or feet', '2024-04-18 09:47:32', '2024-04-18 09:47:32'),
(928, 'Pneumonia', 'runny nose or sneezing', '2024-04-18 09:47:34', '2024-04-18 09:47:34'),
(929, 'Pneumonia', 'pale blue skin', '2024-04-18 09:47:35', '2024-04-18 09:47:35'),
(930, 'Pneumonia', 'loss of cordination', '2024-04-18 09:47:36', '2024-04-18 09:47:36'),
(931, 'Pneumonia', 'swollen joints', '2024-04-18 09:47:37', '2024-04-18 09:47:37'),
(932, 'Pneumonia', 'swollen glands', '2024-04-18 09:47:38', '2024-04-18 09:47:38'),
(933, 'Pneumonia', 'heaviness', '2024-04-18 09:47:39', '2024-04-18 09:47:39'),
(934, 'Pneumonia', 'muscle spasms', '2024-04-18 09:47:40', '2024-04-18 09:47:40'),
(935, 'Pneumonia', 'muscle stiffness', '2024-04-18 09:47:41', '2024-04-18 09:47:41'),
(936, 'Pneumonia', 'eye discomfort', '2024-04-18 09:47:42', '2024-04-18 09:47:42'),
(937, 'Pneumonia', 'sensitivity to touch', '2024-04-18 09:47:43', '2024-04-18 09:47:43'),
(938, 'Pneumonia', 'discomfort in the temples', '2024-04-18 09:47:44', '2024-04-18 09:47:44'),
(939, 'Pneumonia', 'numbness', '2024-04-18 09:47:45', '2024-04-18 09:47:45'),
(940, 'Pneumonia', 'discomfort in the forehead', '2024-04-18 09:47:46', '2024-04-18 09:47:46'),
(941, 'Pneumonia', 'sensitivity to certain odours', '2024-04-18 09:47:48', '2024-04-18 09:47:48'),
(942, 'Pneumonia', 'symptoms worsens', '2024-04-18 09:47:49', '2024-04-18 09:47:49'),
(943, 'Pneumonia', 'changes in blood pressure', '2024-04-18 09:47:50', '2024-04-18 09:47:50'),
(944, 'Pneumonia', 'persistent cough', '2024-04-18 09:47:51', '2024-04-18 09:47:51'),
(945, 'Pneumonia', 'dificulty in bending', '2024-04-18 09:47:53', '2024-04-18 09:47:53'),
(946, 'Pneumonia', 'pain while  swallowing', '2024-04-18 09:47:54', '2024-04-18 09:47:54'),
(947, 'Pneumonia', 'rapid pulse rate', '2024-04-18 09:47:55', '2024-04-18 09:47:55'),
(948, 'Pneumonia', 'heaviness in limbs', '2024-04-18 09:47:56', '2024-04-18 09:47:56'),
(949, 'Pneumonia', 'bloos-streaked mucus', '2024-04-18 09:47:57', '2024-04-18 09:47:57'),
(950, 'Pneumonia', 'metallic taste', '2024-04-18 09:47:59', '2024-04-18 09:47:59'),
(951, 'Pneumonia', 'brittle hair or skin', '2024-04-18 09:48:00', '2024-04-18 09:48:00'),
(952, 'Pneumonia', 'feelings of anxienty or panic', '2024-04-18 09:48:01', '2024-04-18 09:48:01'),
(953, 'Pneumonia', 'Swollen puffy eyes', '2024-04-18 09:48:02', '2024-04-18 09:48:02'),
(954, 'Pneumonia', 'chest discomfort', '2024-04-18 09:48:05', '2024-04-18 09:48:05'),
(955, 'Pneumonia', 'something stuck in the throat', '2024-04-18 09:48:06', '2024-04-18 09:48:06'),
(956, 'Pneumonia', 'Persistent foul taste in mouth', '2024-04-18 09:48:07', '2024-04-18 09:48:07'),
(957, 'Bronchitis', 'bronchitis to pneumonia', '2024-04-18 09:48:10', '2024-04-18 09:48:10'),
(958, 'Bronchitis', 'common in children or adults', '2024-04-18 09:48:11', '2024-04-18 09:48:11'),
(959, 'Bronchitis', 'wheezing', '2024-04-18 09:48:12', '2024-04-18 09:48:12'),
(960, 'Bronchitis', 'bronchitis duration', '2024-04-18 09:48:13', '2024-04-18 09:48:13'),
(961, 'Bronchitis', 'acute bronchitis treatment', '2024-04-18 09:48:14', '2024-04-18 09:48:14'),
(962, 'Bronchitis', 'muscle aches', '2024-04-18 09:48:15', '2024-04-18 09:48:15'),
(963, 'Bronchitis', 'chills', '2024-04-18 09:48:16', '2024-04-18 09:48:16'),
(964, 'Bronchitis', 'nasal congestion', '2024-04-18 09:48:17', '2024-04-18 09:48:17'),
(965, 'Bronchitis', 'diarrhea', '2024-04-18 09:48:18', '2024-04-18 09:48:18'),
(966, 'Bronchitis', 'dry cough', '2024-04-18 09:48:20', '2024-04-18 09:48:20');
INSERT INTO `intents` (`id`, `tag`, `context_set`, `created_at`, `updated_at`) VALUES
(967, 'Bronchitis', 'nasal discharge', '2024-04-18 09:48:21', '2024-04-18 09:48:21'),
(968, 'Bronchitis', 'difficulty sleeping', '2024-04-18 09:48:22', '2024-04-18 09:48:22'),
(969, 'Bronchitis', 'fever', '2024-04-18 09:48:23', '2024-04-18 09:48:23'),
(970, 'Bronchitis', 'loss of appetite', '2024-04-18 09:48:24', '2024-04-18 09:48:24'),
(971, 'Bronchitis', 'speech difficulty', '2024-04-18 09:48:27', '2024-04-18 09:48:27'),
(972, 'Bronchitis', 'tightness or pressure', '2024-04-18 09:48:29', '2024-04-18 09:48:29'),
(973, 'Bronchitis', 'memory issues', '2024-04-18 09:48:30', '2024-04-18 09:48:30'),
(974, 'Bronchitis', 'difficulty in swallowing', '2024-04-18 09:48:31', '2024-04-18 09:48:31'),
(975, 'Bronchitis', 'persistent cough', '2024-04-18 09:48:32', '2024-04-18 09:48:32'),
(976, 'Bronchitis', 'lightheadedness', '2024-04-18 09:48:33', '2024-04-18 09:48:33'),
(977, 'Bronchitis', 'swollen lymph nodes', '2024-04-18 09:48:34', '2024-04-18 09:48:34'),
(978, 'Bronchitis', 'chest congestion', '2024-04-18 09:48:36', '2024-04-18 09:48:36'),
(979, 'Bronchitis', 'weakness', '2024-04-18 09:48:37', '2024-04-18 09:48:37'),
(980, 'Bronchitis', 'pain while swallowing', '2024-04-18 09:48:39', '2024-04-18 09:48:39'),
(981, 'Bronchitis', 'throat irritation', '2024-04-18 09:48:40', '2024-04-18 09:48:40'),
(982, 'Bronchitis', 'numbness', '2024-04-18 09:48:41', '2024-04-18 09:48:41'),
(983, 'Bronchitis', 'bloating', '2024-04-18 09:48:43', '2024-04-18 09:48:43'),
(984, 'Bronchitis', 'resuming normal activities', '2024-04-18 09:48:44', '2024-04-18 09:48:44'),
(985, 'Bronchitis', 'difference between bronchitis and pneumonia', '2024-04-18 09:48:45', '2024-04-18 09:48:45'),
(986, 'Bronchitis', 'causing pneumonia', '2024-04-18 09:48:46', '2024-04-18 09:48:46'),
(987, 'Bronchitis', 'bronchitis contagious', '2024-04-18 09:48:47', '2024-04-18 09:48:47'),
(988, 'Bronchitis', 'children', '2024-04-18 09:48:48', '2024-04-18 09:48:48'),
(989, 'Bronchitis', 'complications', '2024-04-18 09:48:49', '2024-04-18 09:48:49'),
(990, 'Bronchitis', 'viral treatment', '2024-04-18 09:48:50', '2024-04-18 09:48:50'),
(991, 'Bronchitis', 'common in smokers', '2024-04-18 09:48:53', '2024-04-18 09:48:53'),
(992, 'Bronchitis', 'role of mucus', '2024-04-18 09:48:54', '2024-04-18 09:48:54'),
(993, 'Bronchitis', 'season', '2024-04-18 09:48:55', '2024-04-18 09:48:55'),
(994, 'Bronchitis', 'seriousness', '2024-04-18 09:48:57', '2024-04-18 09:48:57'),
(995, 'Bronchitis', 'getting an Xray', '2024-04-18 09:49:05', '2024-04-18 09:49:05'),
(996, 'Bronchitis', 'vaccine', '2024-04-18 09:49:06', '2024-04-18 09:49:06'),
(997, 'Bronchitis', 'foods', '2024-04-18 09:49:17', '2024-04-18 09:49:17'),
(998, 'Pneumonia', 'oxygen levels', '2024-04-18 09:49:29', '2024-04-18 09:49:29'),
(999, 'Pneumonia', 'chest X-ray', '2024-04-18 09:49:32', '2024-04-18 09:49:32'),
(1000, 'Pneumonia', 'heart', '2024-04-18 09:49:34', '2024-04-18 09:49:34'),
(1001, 'Pneumonia', 'cold climates', '2024-04-18 09:49:35', '2024-04-18 09:49:35'),
(1002, 'Pneumonia', 'lobar pneumonia', '2024-04-18 09:49:40', '2024-04-18 09:49:40'),
(1003, 'Pneumonia', 'therapy', '2024-04-18 09:49:59', '2024-04-18 09:49:59'),
(1004, 'Pneumonia', 'undiagnosed', '2024-04-18 09:50:02', '2024-04-18 09:50:02'),
(1005, 'Pneumonia', 'key signs of bacterial pneumonia', '2024-04-18 09:50:04', '2024-04-18 09:50:04'),
(1006, 'Pneumonia', 'anatomic alterations', '2024-04-18 09:50:07', '2024-04-18 09:50:07'),
(1007, 'Pneumonia', 'effusion', '2024-04-18 09:50:10', '2024-04-18 09:50:10'),
(1008, 'Pneumonia', 'effusion definition', '2024-04-18 09:50:12', '2024-04-18 09:50:12'),
(1009, 'Pneumonia', 'clinical manifestations', '2024-04-18 09:50:16', '2024-04-18 09:50:16'),
(1010, 'Pneumonia', 'walking pneumonia', '2024-04-18 09:50:17', '2024-04-18 09:50:17'),
(1011, 'Pneumonia', 'virus', '2024-04-18 09:50:19', '2024-04-18 09:50:19'),
(1012, 'Pneumonia', 'vaccines', '2024-04-18 09:50:20', '2024-04-18 09:50:20'),
(1013, 'Pneumonia', 'vacinnes types', '2024-04-18 09:50:27', '2024-04-18 09:50:27'),
(1014, 'Pneumonia', 'non-infectious etiologies', '2024-04-18 09:50:32', '2024-04-18 09:50:32'),
(1015, 'Pneumonia', 'pneumonia pathophysiology', '2024-04-18 09:50:35', '2024-04-18 09:50:35'),
(1016, 'Pneumonia', 'inflammatory response', '2024-04-18 09:50:37', '2024-04-18 09:50:37'),
(1017, 'Pneumonia', 'mechanical barriers of bacterial infection', '2024-04-18 09:50:38', '2024-04-18 09:50:38'),
(1018, 'Pneumonia', 'Aspiration pneumonia', '2024-04-18 09:50:39', '2024-04-18 09:50:39'),
(1019, 'Pneumonia', 'opportunistic pneumonia', '2024-04-18 09:50:44', '2024-04-18 09:50:44'),
(1020, 'Pneumonia', 'sudden symptoms', '2024-04-18 09:50:50', '2024-04-18 09:50:50'),
(1021, 'Pneumonia', 'Consolidation', '2024-04-18 09:50:58', '2024-04-18 09:50:58'),
(1022, 'Pneumonia', 'antibiotic therapy benefits', '2024-04-18 09:51:10', '2024-04-18 09:51:10'),
(1023, 'Pneumonia', 'standard practices', '2024-04-18 09:51:16', '2024-04-18 09:51:16'),
(1024, 'Pneumonia', 'lobar atelectasis', '2024-04-18 09:51:19', '2024-04-18 09:51:19'),
(1025, 'Pneumonia', 'causes of lobar atelectasis', '2024-04-18 09:51:30', '2024-04-18 09:51:30'),
(1026, 'Pneumonia', 'trigger', '2024-04-18 09:51:33', '2024-04-18 09:51:33'),
(1027, 'Pneumonia', 'findings of physical exam', '2024-04-18 09:51:34', '2024-04-18 09:51:34'),
(1028, 'Pneumonia', 'indicator of life threatneing pneumonia', '2024-04-18 09:51:37', '2024-04-18 09:51:37');

-- --------------------------------------------------------

--
-- Table structure for table `patterns`
--

CREATE TABLE `patterns` (
  `id` bigint(20) UNSIGNED NOT NULL,
  `intent_id` bigint(20) UNSIGNED DEFAULT NULL,
  `content` text COLLATE utf8mb4_unicode_ci NOT NULL,
  `created_at` timestamp NULL DEFAULT NULL,
  `updated_at` timestamp NULL DEFAULT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;

--
-- Dumping data for table `patterns`
--

INSERT INTO `patterns` (`id`, `intent_id`, `content`, `created_at`, `updated_at`) VALUES
(2, 14, 'what are the causes of TB', '2023-12-21 03:30:09', '2024-02-01 10:44:16'),
(11, 20, 'how do i know I have TB', '2023-12-21 13:31:51', '2024-02-01 02:57:01'),
(14, 20, 'What are the signs and symptoms of tuberculosis', '2023-12-21 13:32:00', '2024-02-01 02:51:38'),
(17, 20, 'what are the signs and symptoms of TB?', '2023-12-21 13:32:10', '2024-02-01 02:53:34'),
(23, 23, 'what is tuberculosis', '2024-01-27 13:17:46', '2024-02-01 02:10:33'),
(26, 23, 'what is tb?', '2024-02-01 02:11:11', '2024-02-01 02:11:11'),
(29, 14, 'what are the causes of tuberculosis', '2024-02-01 15:05:25', '2024-02-01 15:05:25'),
(32, 14, 'causes of tuberculosis', '2024-02-01 15:17:49', '2024-02-01 15:17:49'),
(35, 26, 'How is tb spread', '2024-02-01 16:01:53', '2024-02-01 16:01:53'),
(38, 26, 'ways how tb is spread', '2024-02-01 16:04:12', '2024-02-01 16:04:12'),
(41, 26, 'ways how tuberculosis is spread', '2024-02-01 16:04:33', '2024-02-01 16:04:33'),
(44, 26, 'how is tuberculosis spread', '2024-02-01 16:04:56', '2024-02-01 16:04:56'),
(47, 29, 'how is COPD spread', '2024-02-01 16:38:52', '2024-02-01 16:38:52'),
(50, 29, 'what factors lead to the spread of COPD', '2024-02-01 16:39:14', '2024-02-01 16:39:14'),
(53, 29, 'What factors make one prone to getting COPD', '2024-02-01 16:40:37', '2024-02-01 16:40:37'),
(56, 29, 'risk factors of COPD', '2024-02-01 16:40:59', '2024-02-01 16:40:59'),
(59, 35, 'What should I do while on treatment for tb', '2024-02-01 16:51:00', '2024-02-01 16:51:00'),
(62, 35, 'what should one do while on treatment for tuberculosis?', '2024-02-01 16:51:28', '2024-02-01 16:51:28'),
(65, 35, 'What should one do while treating tuberculosis', '2024-02-01 16:52:02', '2024-02-01 16:52:02'),
(68, 35, 'what should i do while treating tuberculosis?', '2024-02-01 16:53:14', '2024-02-01 16:53:14'),
(71, 77, 'what causes Covid?', '2024-02-02 14:37:27', '2024-02-02 14:37:27'),
(74, 68, 'what is covid?', '2024-02-02 14:39:01', '2024-02-02 14:39:01'),
(77, 68, 'what is covid-19?', '2024-02-02 14:39:19', '2024-02-02 14:39:19'),
(80, 77, 'causes of covid', '2024-02-02 14:42:16', '2024-02-02 14:42:16'),
(83, 77, 'causes of covid-19', '2024-02-02 14:42:29', '2024-02-02 14:42:29'),
(86, 77, 'what are the causes of covid-19', '2024-02-02 14:44:02', '2024-02-02 14:44:02'),
(89, 74, 'How is covid spread?', '2024-02-02 14:45:53', '2024-02-02 14:45:53'),
(92, 74, 'ways how covid is spread', '2024-02-02 14:47:06', '2024-02-02 14:47:06'),
(95, 74, 'how is covid-19 spread', '2024-02-02 14:47:20', '2024-02-02 14:47:20'),
(98, 71, 'What are the signs and symptoms of Covid', '2024-02-02 15:15:32', '2024-02-02 15:15:32'),
(101, 71, 'signs and symptoms of Covid 19', '2024-02-02 15:16:04', '2024-02-02 15:16:04'),
(104, 71, 'what shows that one has covid 19', '2024-02-02 15:19:19', '2024-02-02 15:19:19'),
(107, 71, 'what are the signs and symptoms of covid 19?', '2024-02-02 15:22:43', '2024-02-02 15:22:43'),
(110, 80, 'How can I prevent myself from getting covid?', '2024-02-02 15:26:08', '2024-02-02 15:26:08'),
(113, 80, 'ways of protecting against Covid', '2024-02-02 15:26:23', '2024-02-02 15:26:23'),
(116, 80, 'covid19 preventative measures', '2024-02-02 15:27:12', '2024-02-02 15:27:12'),
(119, 59, 'what is Bronchitis?', '2024-02-02 17:54:35', '2024-02-02 17:54:35'),
(122, 59, 'How to identify bronchitis', '2024-02-02 17:55:00', '2024-02-02 17:55:00'),
(125, 59, 'What is bronchitis like?', '2024-02-02 17:55:25', '2024-02-02 17:55:25'),
(128, 65, 'signs and symptoms of bronchitis', '2024-02-02 18:10:12', '2024-02-02 18:10:12'),
(131, 65, 'What are the signs and symptoms of bronchitis?', '2024-02-02 18:10:43', '2024-02-02 18:10:43'),
(134, 65, 'mention the signs and symptoms of bronchitis', '2024-02-02 18:11:09', '2024-02-02 18:11:20'),
(137, 65, 'how to identify bronchitis', '2024-02-02 18:13:38', '2024-02-02 18:13:38'),
(140, 62, 'how does one get brochitis?', '2024-02-02 18:20:44', '2024-02-02 18:20:44'),
(143, 62, 'what factors lead to the transmission of brochitis?', '2024-02-02 18:22:30', '2024-02-02 18:22:30'),
(146, 62, 'What factors lead to the spread of bronchitis?', '2024-02-02 18:24:43', '2024-02-02 18:24:43'),
(149, 50, 'what is asthma', '2024-02-02 18:35:35', '2024-02-02 18:35:35'),
(152, 53, 'signs and symptoms of asthma', '2024-02-02 18:37:31', '2024-02-02 18:37:31'),
(155, 53, 'what are the signs and symptoms of asthma', '2024-02-02 18:37:50', '2024-02-02 18:37:50'),
(158, 53, 'how to identify asthma', '2024-02-02 18:38:09', '2024-02-02 18:38:09'),
(161, 83, 'What are the types of asthma?', '2024-02-02 18:53:42', '2024-02-02 18:53:42'),
(164, 83, 'types of asthma', '2024-02-02 18:53:54', '2024-02-02 18:53:54'),
(167, 83, 'categories of asthma', '2024-02-02 18:54:05', '2024-02-02 18:54:05'),
(170, 83, 'what are the different categories of asthma?', '2024-02-02 18:54:41', '2024-02-02 18:55:23'),
(173, 83, 'What are the  various types of asthma?', '2024-02-02 18:55:12', '2024-02-02 18:55:12'),
(176, 56, 'what factors lead to the spread of asthma?', '2024-02-02 19:02:40', '2024-02-02 19:03:28'),
(179, 56, 'what factors put one at risk of getting asthma?', '2024-02-02 19:02:41', '2024-02-02 19:02:41'),
(182, 56, 'how does one get asthma?', '2024-02-02 19:03:49', '2024-02-02 19:03:49'),
(185, 86, 'How do I take care of myself when I\'m suffering from TB?', '2024-02-06 00:22:59', '2024-02-06 00:22:59'),
(188, 86, 'tuberculosis selfcare', '2024-02-06 00:24:23', '2024-02-06 00:24:23'),
(191, 86, 'How to look after a TB patient?', '2024-02-06 00:24:50', '2024-02-06 00:24:50'),
(194, 44, 'signs and symptoms of pneumonia', '2024-02-06 00:56:29', '2024-02-06 00:56:29'),
(197, 44, 'what are the signs and  symptoms of pneumonia?', '2024-02-06 01:04:26', '2024-02-06 01:04:26'),
(200, 89, 'What is the cause of bronchitis?', '2024-02-06 01:06:38', '2024-02-06 01:06:38'),
(203, 38, 'what is pneumonia?', '2024-02-06 02:12:10', '2024-02-06 02:12:10'),
(206, 38, 'pneumonia', '2024-02-06 02:12:34', '2024-02-06 02:12:34'),
(209, 41, 'What causes pneumonia?', '2024-02-06 02:19:09', '2024-02-06 02:19:09'),
(212, 41, 'Pneumonia causes', '2024-02-06 02:19:22', '2024-02-06 02:19:22'),
(215, 41, 'cause of pneumonia', '2024-02-06 02:22:13', '2024-02-06 02:22:13'),
(218, 32, 'what causes COPD?', '2024-02-06 02:27:37', '2024-02-06 02:27:37'),
(221, 47, 'Signs and symptoms of COPD', '2024-02-06 02:31:08', '2024-02-06 02:31:08'),
(224, 47, 'what are the signs and symptoms of COPD?', '2024-02-06 02:31:25', '2024-02-06 02:31:25'),
(227, 92, 'How dangerous is the coronavirus Covid-19 is deadly?', '2024-02-07 23:29:37', '2024-02-07 23:29:37'),
(230, 95, 'How did coronaviruses get their name ?', '2024-02-07 23:33:12', '2024-02-07 23:33:12'),
(233, 98, 'How can we prevent the spread of covid?', '2024-02-07 23:38:06', '2024-02-07 23:38:06'),
(236, 98, 'how to prevent Covid', '2024-02-07 23:38:27', '2024-02-07 23:38:27'),
(239, 98, 'prevention of Covid', '2024-02-07 23:39:42', '2024-02-07 23:39:42'),
(242, 101, 'who is at risk of getting TB?', '2024-02-08 18:15:12', '2024-02-08 18:15:12'),
(245, 101, 'Who is vulnerable to getting TB?', '2024-02-08 18:15:36', '2024-02-08 18:15:36'),
(248, 101, 'Which people are at risk of getting TB?', '2024-02-08 18:16:39', '2024-02-08 18:16:39'),
(251, 101, 'what people are susceptible to getting TB', '2024-02-08 18:17:40', '2024-02-08 18:17:40'),
(254, 104, 'What is latent TB infection (LTBI)?', '2024-02-08 18:24:59', '2024-02-08 18:24:59'),
(257, 104, 'What is latent TB infection (LTBI)?', '2024-02-08 18:25:00', '2024-02-08 18:25:00'),
(260, 104, 'What is latent TB infection (LTBI)?', '2024-02-08 18:25:04', '2024-02-08 18:25:04'),
(263, 107, 'What is latent TB infection (LTBI)?', '2024-02-08 18:27:16', '2024-02-08 18:27:16'),
(266, 110, 'Should I get tested for TB?', '2024-02-08 23:38:36', '2024-02-08 23:38:36'),
(269, 110, 'When should one get tested for TB?', '2024-02-08 23:40:29', '2024-02-08 23:40:29'),
(272, 113, 'What are the tests for TB infection?', '2024-02-08 23:47:16', '2024-02-08 23:47:16'),
(275, 116, 'What do the results from the TB blood test mean?', '2024-02-09 00:03:57', '2024-02-09 00:03:57'),
(278, 119, 'What is the meaning of the TB skin test results?', '2024-02-09 00:22:07', '2024-02-09 00:22:07'),
(281, 119, 'TB skin test results meaning', '2024-02-09 00:24:45', '2024-02-09 00:24:45'),
(284, 122, 'What if I have a positive test for TB infection?', '2024-02-09 00:29:10', '2024-02-09 00:29:10'),
(287, 125, 'LTBI medicine side effects', '2024-02-09 00:33:26', '2024-02-09 00:33:26'),
(290, 125, 'What are the side effects of medicines to treat latent TB infection (LTBI)?', '2024-02-09 00:33:45', '2024-02-09 00:33:45'),
(293, 128, 'How is TB disease treated?', '2024-02-09 00:38:00', '2024-02-09 00:38:00'),
(296, 128, 'common medicines used to treat TB \r\ndisease', '2024-02-09 00:38:42', '2024-02-09 00:38:42'),
(299, 131, 'Can TB be treated?', '2024-02-09 00:44:37', '2024-02-09 00:44:37'),
(302, 131, 'Is tuberculosis curable?', '2024-02-09 00:44:53', '2024-02-09 00:44:53'),
(305, 134, 'What are the side effects of TB disease medicines?', '2024-02-09 00:49:10', '2024-02-09 00:49:10'),
(308, 137, 'Why do I need to take TB medicines for so long?', '2024-02-09 00:53:28', '2024-02-09 00:53:28'),
(311, 140, 'What is multidrug-resistant TB (MDR TB)', '2024-02-09 00:59:18', '2024-02-09 00:59:18'),
(314, 140, 'Define multidrug-resistant TB (MDR TB)', '2024-02-09 01:00:46', '2024-02-09 01:00:46'),
(317, 140, 'Define extensively drug-resistant TB (XDR TB)', '2024-02-09 01:06:49', '2024-02-09 01:06:49'),
(320, 143, 'Define extensively drug-resistant TB (XDR TB)', '2024-02-09 01:11:36', '2024-02-09 01:11:36'),
(323, 146, 'How can I remember to take my TB medicines ?', '2024-02-09 01:18:49', '2024-02-09 01:18:49'),
(326, 149, 'How can I keep from spreading TB?', '2024-02-09 01:22:24', '2024-02-09 01:22:24'),
(329, 152, 'What are the 4 stages of COPD?', '2024-02-09 01:32:00', '2024-02-09 01:32:00'),
(332, 154, 'What is the life expectancy of a COPD patient?', '2024-02-09 01:39:01', '2024-02-09 01:39:01'),
(335, 155, 'How long does a COPD exacerbation last?', '2024-02-09 01:46:27', '2024-02-09 01:46:27'),
(338, 158, 'Can you get COPD even when you have never smoked?', '2024-02-09 01:49:03', '2024-02-09 01:49:03'),
(341, 161, 'Is COPD the same as emphysema?', '2024-02-09 01:52:39', '2024-02-09 01:52:39'),
(344, 164, 'What is the difference between COPD and asthma?', '2024-02-09 01:56:37', '2024-02-09 01:56:37'),
(347, 167, 'Is COPD curable?', '2024-02-09 02:00:33', '2024-02-09 02:00:33'),
(350, 170, 'What is the best treatment for COPD?', '2024-02-09 02:03:15', '2024-02-09 02:03:15'),
(353, 173, 'What is lung reduction surgery?', '2024-02-09 02:06:32', '2024-02-09 02:06:32'),
(356, 176, 'Side effects of oxygen therapy', '2024-02-09 02:10:35', '2024-02-09 02:10:35'),
(359, 176, 'What are the side effects of the oxygen therapy for COPD?', '2024-02-09 02:11:17', '2024-02-09 02:11:17'),
(362, 179, 'Breathing exercises for COPD', '2024-02-09 02:13:00', '2024-02-09 02:13:00'),
(365, 179, 'What are some of the breathing exercises for COPD?', '2024-02-09 02:13:40', '2024-02-09 02:13:40'),
(368, 182, 'Natural remedies for COPD', '2024-02-09 02:15:00', '2024-02-09 02:15:00'),
(371, 182, 'Are there any natural remedies for COPD?', '2024-02-09 02:15:18', '2024-02-09 02:15:18'),
(374, 185, 'prevention of  COPD', '2024-02-09 02:19:09', '2024-02-09 02:19:09'),
(377, 185, 'Ways to prevent COPD', '2024-02-09 02:19:22', '2024-02-09 02:19:22'),
(380, 185, 'How can COPD be prevented?', '2024-02-09 02:19:35', '2024-02-09 02:19:35'),
(383, 188, 'Is bronchitis contagious?', '2024-02-09 02:45:02', '2024-02-09 02:45:02'),
(385, 191, 'How long does bronchitis last?', '2024-02-09 02:48:40', '2024-02-09 02:48:40'),
(386, 194, 'What are the types of bronchitis?', '2024-02-09 02:51:59', '2024-02-09 02:51:59'),
(389, 194, 'What are the categories of bronchitis?', '2024-02-09 02:52:22', '2024-02-09 02:52:22'),
(392, 194, 'types of bronchitis', '2024-02-09 02:52:38', '2024-02-09 02:52:38'),
(395, 194, 'classification of bronchitis', '2024-02-09 02:52:53', '2024-02-09 02:52:53'),
(398, 196, 'Can bronchitis be prevented?', '2024-02-09 02:54:59', '2024-02-09 02:54:59'),
(401, 196, 'How to prevent bronchitis', '2024-02-09 02:55:27', '2024-02-09 02:55:27'),
(404, 197, 'When should I call my doctor?', '2024-02-09 02:58:14', '2024-02-09 02:58:14'),
(407, 197, 'When to seek medical assistance', '2024-02-09 02:58:35', '2024-02-09 02:58:35'),
(410, 200, 'Home remedies for bronchitis', '2024-02-09 03:01:49', '2024-02-09 03:01:49'),
(413, 200, 'How to alleviate symptoms of bronchitis', '2024-02-09 03:02:15', '2024-02-09 03:02:15'),
(416, 203, 'How do people ', '2024-02-09 03:10:47', '2024-02-09 03:10:47'),
(422, 206, 'How is pneumonia treated?', '2024-02-09 03:13:57', '2024-02-09 03:13:57'),
(425, 209, 'How can I prevent spreading bronchitis?', '2024-02-09 03:16:47', '2024-02-09 03:16:47'),
(428, 211, 'Who is at risk?', '2024-02-09 03:19:01', '2024-02-09 03:19:01'),
(431, 211, 'Who is at risk of getting bronchitis?', '2024-02-09 03:19:24', '2024-02-09 03:19:24'),
(434, 211, 'who is vulnerable to getting bronchitis', '2024-02-09 03:19:41', '2024-02-09 03:19:41'),
(437, 212, 'When do I need to call my doctor?', '2024-02-09 03:20:57', '2024-02-09 03:20:57'),
(440, 215, 'What tests can I expect?', '2024-02-09 03:25:26', '2024-02-09 03:25:26'),
(443, 218, 'pneumonia prevention', '2024-02-09 11:47:24', '2024-02-09 11:47:24'),
(446, 218, 'How to prevent pneumonia?', '2024-02-09 11:47:53', '2024-02-09 11:47:53'),
(449, 221, 'What happens after being hospitalized with bronchitis?', '2024-02-09 11:59:42', '2024-02-09 11:59:42'),
(452, 221, 'Follow up', '2024-02-09 12:01:49', '2024-02-09 12:01:49'),
(455, 224, 'What foods should you avoid with bronchitis?', '2024-02-09 12:46:11', '2024-02-09 12:46:11'),
(458, 227, 'What are the do\'s and don\'ts with bronchitis?', '2024-02-09 13:41:35', '2024-02-09 13:41:35'),
(461, 233, 'Is chronic bronchitis contagious?', '2024-02-09 14:10:50', '2024-02-09 14:10:50'),
(464, 230, 'Is acute bronchitis contagious?', '2024-02-09 14:13:07', '2024-02-09 14:13:07'),
(467, 236, 'How does bronchitis spread?', '2024-02-09 14:23:37', '2024-02-09 14:23:37'),
(470, 239, 'How long is someone contagious with acute bronchitis?', '2024-02-09 14:29:53', '2024-02-09 14:29:53'),
(473, 242, 'What are the effects of asthma?', '2024-02-09 14:33:49', '2024-02-09 14:33:49'),
(476, 245, 'Can you catch asthma from another person?', '2024-02-09 14:39:40', '2024-02-09 14:40:04'),
(479, 248, 'Can asthma be cured?', '2024-02-09 14:45:11', '2024-02-09 14:46:32'),
(482, 251, 'Can I play sports if I have asthma?', '2024-02-09 14:52:11', '2024-02-09 14:52:11'),
(485, 254, 'Can Asthma Drugs Affect my Baby if I\'m Pregnant?', '2024-02-09 15:03:23', '2024-02-09 15:06:49'),
(488, 257, 'What Do I Do If I Have an Asthma Attack?', '2024-02-09 15:06:10', '2024-02-09 15:06:10'),
(491, 260, 'How Can I Prevent Asthma Symptoms After Exercise?', '2024-02-09 15:20:06', '2024-02-09 15:20:06'),
(494, 263, 'I\'m exposed to substances at work that worsen my asthma. What can I do to prevent this?', '2024-02-09 15:54:55', '2024-02-09 15:54:55'),
(497, 266, 'I have heartburn; can it worsen asthma?', '2024-02-09 16:01:08', '2024-02-09 16:01:08'),
(500, 269, 'What Are the Side Effects of my Bronchodilator Medicine?', '2024-02-09 16:03:10', '2024-02-09 16:03:10'),
(503, 272, 'How Do I Get Tested for Allergies?', '2024-02-09 16:31:59', '2024-02-09 16:31:59'),
(506, 275, 'My Asthma Worsens Whenever I Take Pain Medication. Why?', '2024-02-09 16:36:02', '2024-02-09 16:36:02'),
(509, 278, 'What', '2024-02-09 20:53:31', '2024-02-09 20:53:31'),
(512, 281, 'Are there different levels of severity of asthma, or is it the same for every child?', '2024-02-09 21:04:07', '2024-02-09 21:04:07'),
(515, 284, 'What', '2024-02-09 22:51:22', '2024-02-09 22:51:22'),
(518, 287, 'How did my child get asthma?', '2024-02-09 22:57:07', '2024-02-09 22:57:07'),
(521, 290, 'I know people with asthma use inhalers, but what does the inhaler do?', '2024-02-09 23:37:39', '2024-02-09 23:37:39'),
(524, 293, 'What', '2024-02-09 23:40:49', '2024-02-09 23:40:49'),
(527, 296, 'Are inhalers the only treatment for asthma flare-ups?', '2024-02-09 23:51:41', '2024-02-09 23:51:41'),
(530, 299, 'How a peak flow meter works', '2024-02-09 23:56:20', '2024-02-09 23:56:20'),
(533, 305, 'Why is it good to use a peak flow meter ?', '2024-02-10 00:19:38', '2024-02-10 00:19:38'),
(536, 305, 'What are the advantages of using a peak flow meter?', '2024-02-10 00:20:07', '2024-02-10 00:20:07'),
(539, 302, 'What', '2024-02-10 00:23:35', '2024-02-10 00:23:35'),
(542, 308, 'What foods are helpful when one has asthma?', '2024-02-10 00:40:46', '2024-02-10 00:40:46'),
(545, 311, 'What food are not advisable when suffering from asthma?', '2024-02-10 00:48:11', '2024-02-10 00:48:11'),
(548, 311, 'What food may be harmful while having asthma?', '2024-02-10 00:50:08', '2024-02-10 00:50:08'),
(551, 314, 'Are the COVID-19 vaccines safe and effective?', '2024-02-10 01:21:37', '2024-02-10 01:21:37'),
(554, 320, 'Do the COVID-19 vaccines work against the new variants?', '2024-02-10 01:29:05', '2024-02-10 01:29:05'),
(557, 317, 'Are any of these new COVID-19 variants more dangerous for children?', '2024-02-10 01:39:31', '2024-02-10 01:39:31'),
(560, 323, 'I', '2024-02-10 01:43:40', '2024-02-10 01:43:40'),
(563, 325, 'Is it safe for a mother to breastfeed if she is infected with COVID-19?', '2024-02-10 02:14:56', '2024-02-10 02:14:56'),
(566, 332, 'COVID-19 has been described as a ', '2024-02-10 02:16:51', '2024-02-10 02:16:51'),
(569, 341, 'I', '2024-02-10 02:21:21', '2024-02-10 02:21:21'),
(572, 344, 'Are people living with HIV at increased risk of being infected with SARS-CoV-2 or develop more severe COVID 19?', '2024-02-10 02:29:16', '2024-02-10 02:29:16'),
(575, 344, 'Are people living with HIV at increased risk of being infected with SARS-CoV-2 or develop more severe COVID 19?', '2024-02-10 02:29:16', '2024-02-10 02:29:16'),
(578, 344, 'Are people living with HIV at increased risk of being infected with SARS-CoV-2 or develop more severe COVID 19?', '2024-02-10 02:29:18', '2024-02-10 02:29:18'),
(581, 344, 'Are people living with HIV at increased risk of being infected with SARS-CoV-2 or develop more severe COVID 19?', '2024-02-10 02:29:20', '2024-02-10 02:29:20'),
(584, 344, 'Are people living with HIV at increased risk of being infected with SARS-CoV-2 or develop more severe COVID 19?', '2024-02-10 02:29:25', '2024-02-10 02:29:25'),
(587, 344, 'Are people living with HIV at increased risk of being infected with SARS-CoV-2 or develop more severe COVID 19?', '2024-02-10 02:29:26', '2024-02-10 02:29:26'),
(590, 347, 'Can ARVs be used to treat covid-19 or prevent SARS-CoV-2 infection?', '2024-02-10 02:49:10', '2024-02-10 02:49:10'),
(593, 350, 'Can COVID- 19 infection affect HIV test results?', '2024-02-10 02:53:34', '2024-02-10 02:53:34'),
(596, 353, 'Are Covid vaccines safe for people living with HIV?', '2024-02-10 02:59:51', '2024-02-10 02:59:51'),
(599, 356, 'Do COVID 19 vaccines provide protection for people living with HIV?', '2024-02-10 03:06:16', '2024-02-10 03:06:16'),
(602, 359, 'Should all people living with HIV receive additional doses of COVID-19 vaccine?', '2024-02-10 03:10:38', '2024-02-10 03:10:38'),
(605, 362, 'Risk of development of immune escape variants in immunosuppressed patients', '2024-02-10 03:15:41', '2024-02-10 03:15:41'),
(608, 371, 'I have confirmed or suspected COVID-19, is it safer to give my baby infant formula milk?', '2024-02-10 16:45:07', '2024-02-10 16:45:07'),
(611, 368, 'Can a breastfeeding woman get vaccinated against COVID?', '2024-02-10 16:50:56', '2024-02-10 16:50:56'),
(614, 374, 'I have confirmed COVID and  was unable to breastfeed. when can I start breast feeding again?', '2024-02-10 17:08:42', '2024-02-10 17:08:42'),
(616, 377, 'I have confirmed COVID and I\'m too unwell to breastfeed my baby directly. What can I do>', '2024-02-10 17:26:25', '2024-02-10 17:26:25'),
(617, 382, 'In communities where Covid 19 is prevalent, should mothers breastfeed?', '2024-02-10 17:41:11', '2024-02-10 17:41:11'),
(620, 383, 'What areas should be prioritized for disinfection in non-healtthcare settings?', '2024-02-10 17:58:35', '2024-02-10 17:58:35'),
(623, 389, 'which surface disinfectants are effective against COVID-19 in non-healthcare settings?', '2024-02-10 18:06:17', '2024-02-10 18:06:17'),
(626, 395, 'What protection measure should people take when using disinfectants?', '2024-02-10 18:35:35', '2024-02-10 18:35:35'),
(629, 398, 'What is the guidance for the disinfection of outdoor spaces such as open markets, roads?', '2024-02-10 18:41:04', '2024-02-10 18:41:04'),
(632, 401, 'Are public systems for disinfecting individuals such as spraying via tunnel or chambers safe to use?', '2024-02-10 18:46:06', '2024-02-10 18:46:06'),
(635, 404, 'What are the recommended practices once back home after outdoor activities?', '2024-02-10 19:15:44', '2024-02-10 19:15:44'),
(638, 407, 'How should I clean food items from grocery stores eg fruit, vegetables or packaged items?', '2024-02-10 20:19:21', '2024-02-10 20:19:21'),
(641, 410, 'Are gloves recommended for the community in public spaces to protect against COVI-19, for example, when going to the grocery store?', '2024-02-10 20:28:59', '2024-02-10 20:28:59'),
(644, 413, 'Is family planning safe to use during the COVID-19 pandemic?', '2024-02-10 20:57:39', '2024-02-10 20:57:39'),
(647, 416, 'I want to avoid getting pregnant during the pandemic. What can i do?', '2024-02-10 21:11:22', '2024-02-10 21:11:22'),
(650, 419, 'I can\'t access my contraceptive method of choice. What do you advise?', '2024-02-10 21:22:19', '2024-02-10 21:22:19'),
(653, 421, 'What is the best contraceptive method to use during the pandemic', '2024-02-10 22:10:35', '2024-02-10 22:10:35'),
(656, 422, 'I want to change my contraceptive method- is it possible?', '2024-02-10 22:16:52', '2024-02-10 22:16:52'),
(659, 425, 'I want to or replace my implant or IUD-can I do this during the COVID-19 pandemic?', '2024-02-10 22:29:38', '2024-02-10 22:29:38'),
(662, 428, 'I am a healthcare provider. I have heard that people with COVID may have increased risk of blood clots. How should I advise individuals who are using or want to use combined hormonal contraception?', '2024-02-10 22:35:23', '2024-02-10 22:35:23'),
(665, 431, 'I am a policy maker. What can I do to make sure people can access contraception and family planning information and services?', '2024-02-10 22:41:03', '2024-02-10 22:41:03'),
(668, 434, 'What  is contact tracing?', '2024-02-10 22:46:35', '2024-02-10 22:46:35'),
(671, 434, 'contact tracing', '2024-02-10 22:46:44', '2024-02-10 22:46:44'),
(674, 434, 'Define contact tracing', '2024-02-10 22:47:02', '2024-02-10 22:47:02'),
(680, 436, 'Can contact tracing help in controlling the spread of the virus?', '2024-02-10 22:51:07', '2024-02-10 22:51:07'),
(683, 437, 'Does contact tracing still work against new variants of the COVID-19 virus?', '2024-02-10 23:13:05', '2024-02-10 23:13:05'),
(686, 440, 'How do I know if I\'m a contact?', '2024-02-10 23:20:47', '2024-02-10 23:20:47'),
(689, 458, 'What should I do if I\'m a contact?', '2024-02-10 23:33:12', '2024-02-10 23:33:12'),
(692, 443, 'How is digital proximity tracing data stored and protected?', '2024-02-10 23:45:32', '2024-02-10 23:45:32'),
(695, 446, 'What is quarantine?', '2024-02-10 23:50:05', '2024-02-10 23:50:05'),
(698, 461, 'What is Isolation?', '2024-02-11 00:14:44', '2024-02-11 00:14:44'),
(701, 455, 'if I\'m travelling outside my country, do I need to provide accurate information to contact tracing personnel at the airport or at my destination? What if I\'m concerned about how my private information is going to be used?', '2024-02-11 00:41:06', '2024-02-11 00:52:53'),
(704, 452, 'What can I do as an individual to support contact tracing measure in my community?', '2024-02-11 00:55:14', '2024-02-11 00:55:14'),
(707, 449, 'How do I manage quarantine and how do I take care of myself during quarantine?', '2024-02-11 01:04:56', '2024-02-11 01:04:56'),
(710, 464, 'Why is environmental surveillance of waste water important during diseases outbreaks', '2024-02-12 13:04:15', '2024-02-12 13:04:15'),
(713, 464, 'Why is environmental surveillance of waste water important during diseases outbreaks', '2024-02-12 13:04:59', '2024-02-12 13:04:59'),
(716, 470, 'Why is environmental surveillance of waste water important during diseases outbreaks', '2024-02-12 21:06:44', '2024-02-12 21:06:44'),
(719, 526, 'what is pulmonary rehabilitation?', '2024-03-06 18:13:49', '2024-03-06 18:13:49'),
(720, 527, 'Is it possible for kids to have COPD?', '2024-03-06 18:13:51', '2024-03-06 18:13:51'),
(721, 528, 'What impact does asthma have on an individual suffering from it?', '2024-03-06 18:14:09', '2024-03-06 18:14:09'),
(722, 529, 'How should I take care of myself while suffering from asthma?', '2024-03-06 18:14:13', '2024-03-06 18:14:13'),
(723, 530, 'What is the 444 rule?', '2024-03-06 18:14:16', '2024-03-06 18:14:16'),
(724, 531, 'What are the steps involved in the 444 rule?', '2024-03-06 18:14:18', '2024-03-06 18:14:18'),
(725, 532, 'Common Mistakes to Avoid During Asthma First Aid', '2024-03-06 18:14:20', '2024-03-06 18:14:20'),
(726, 533, 'signs that you need to use asthma first aid', '2024-03-06 18:14:28', '2024-03-06 18:14:28'),
(727, 534, 'When does it become an asthma emergency?', '2024-03-06 18:14:30', '2024-03-06 18:14:30'),
(728, 535, 'How to use the blue/ grey puffer?', '2024-03-06 18:14:34', '2024-03-06 18:14:34'),
(729, 536, 'How to use other relievers when someone is having an asthma attack', '2024-03-06 18:14:37', '2024-03-06 18:14:37'),
(730, 537, 'How to give blue/grey puffer without a spacer (for adults, when no spacer available).', '2024-03-06 18:14:39', '2024-03-06 18:14:39'),
(731, 538, 'When is it an asthma attack?', '2024-03-06 18:14:41', '2024-03-06 18:14:41'),
(732, 539, 'What do to do when someone has severe allergic reactions', '2024-03-06 18:14:44', '2024-03-06 18:14:44'),
(733, 540, 'Asthma Causes in Children', '2024-03-06 18:14:46', '2024-03-06 18:14:46'),
(734, 541, 'Which children are at risk for asthma?', '2024-03-06 18:14:49', '2024-03-06 18:14:49'),
(735, 542, 'Asthma Diagnosis in Children', '2024-03-06 18:14:52', '2024-03-06 18:14:52'),
(736, 543, 'Asthma Treatments for Children', '2024-03-06 18:15:00', '2024-03-06 18:15:00'),
(737, 544, 'Asthma Complications in Children', '2024-03-06 18:15:03', '2024-03-06 18:15:03'),
(738, 545, 'Asthma Prevention for Children', '2024-03-06 18:15:07', '2024-03-06 18:15:07'),
(739, 546, 'How can I help my child live with asthma?', '2024-03-06 18:15:10', '2024-03-06 18:15:10'),
(740, 547, 'When should I call my child’s healthcare provider?', '2024-03-06 18:15:12', '2024-03-06 18:15:12'),
(741, 548, 'What is the most serious pneumonia sign and symptom?', '2024-03-06 18:15:15', '2024-03-06 18:15:15'),
(742, 549, 'How is the severity of pneumonia determined?', '2024-03-06 18:15:17', '2024-03-06 18:15:17'),
(743, 550, 'what is the biggest concern with pneumonia?', '2024-03-06 18:15:20', '2024-03-06 18:15:20'),
(744, 551, 'what does pneumonia affect most?', '2024-03-06 18:15:22', '2024-03-06 18:15:22'),
(745, 552, 'What causes pneumonia?', '2024-03-06 18:15:24', '2024-03-06 18:15:24'),
(746, 553, 'what is fungal pneumonia?', '2024-03-06 18:15:28', '2024-03-06 18:15:28'),
(747, 554, 'what is viral pneumonia?', '2024-03-06 18:15:31', '2024-03-06 18:15:31'),
(748, 555, 'what is bacterial pneumonia?', '2024-03-06 18:15:33', '2024-03-06 18:15:33'),
(749, 556, 'is pneumonia contagious?', '2024-03-06 18:15:35', '2024-03-06 18:15:35'),
(750, 557, 'For how long is a person with pneumonia contagious?', '2024-03-06 18:15:38', '2024-03-06 18:15:38'),
(751, 558, 'When should a doctor be called?', '2024-03-06 18:15:42', '2024-03-06 18:15:42'),
(752, 559, 'How is pneumonia diagonised?', '2024-03-06 18:15:45', '2024-03-06 18:15:45'),
(753, 560, 'What tests are done to identify pneumonia?', '2024-03-06 18:15:47', '2024-03-06 18:15:47'),
(754, 561, 'How do people manage symptoms such as fever and cough?', '2024-03-06 18:15:52', '2024-03-06 18:15:52'),
(755, 562, 'Who is at high risk of getting bacterial pneumonia?', '2024-03-06 18:15:54', '2024-03-06 18:15:54'),
(756, 563, 'What are the possible complications of pneumonia?', '2024-03-06 18:15:56', '2024-03-06 18:15:56'),
(757, 564, 'ways how pneumonia can be prevented', '2024-03-06 18:16:03', '2024-03-06 18:16:03'),
(758, 565, 'What are the types of pneumonia?', '2024-03-06 18:16:05', '2024-03-06 18:16:05'),
(759, 566, 'Are people living in cold climatic conditions more prone to pneumonia?', '2024-03-06 18:16:08', '2024-03-06 18:16:08'),
(760, 567, 'Is pneumonia fatal?', '2024-03-06 18:16:10', '2024-03-06 18:16:10'),
(761, 568, 'Is double pneumonia more dangerous than single pneumonia?', '2024-03-06 18:16:12', '2024-03-06 18:16:12'),
(762, 569, 'Can pneumonia lead to other health disorders?', '2024-03-06 18:16:14', '2024-03-06 18:16:14'),
(763, 570, 'How often do elderly people above 65 years need to take pneumonia vaccines?', '2024-03-06 18:16:17', '2024-03-06 18:16:17'),
(764, 571, 'Can breastfeeding protect your child from pneumonia?', '2024-03-06 18:16:19', '2024-03-06 18:16:19'),
(765, 572, 'What food items can help to treat pneumonia?', '2024-03-06 18:16:21', '2024-03-06 18:16:21'),
(766, 573, 'What is the most- common bacterial pneumonia?', '2024-03-06 18:16:23', '2024-03-06 18:16:23'),
(767, 574, 'What causes pneumonia in a child?', '2024-03-06 18:16:26', '2024-03-06 18:16:26'),
(768, 575, 'Which children are at risk for pneumonia?', '2024-03-06 18:16:28', '2024-03-06 18:16:28'),
(769, 576, 'What are the symptoms of pneumonia in a child?', '2024-03-06 18:16:32', '2024-03-06 18:16:32'),
(770, 577, 'How is pneumonia diagnosed in a child?', '2024-03-06 18:16:37', '2024-03-06 18:16:37'),
(771, 578, 'How is pneumonia treated in a child?', '2024-03-06 18:16:39', '2024-03-06 18:16:39'),
(772, 579, 'What are possible complications of pneumonia in a child?', '2024-03-06 18:16:41', '2024-03-06 18:16:41'),
(773, 580, 'How can I help prevent pneumonia in my child?', '2024-03-06 18:16:44', '2024-03-06 18:16:44'),
(774, 581, 'Key points about pneumonia in children', '2024-03-06 18:16:51', '2024-03-06 18:16:51'),
(775, 582, 'Characteristics of acute Bronchitis', '2024-03-06 18:16:57', '2024-03-06 18:16:57'),
(776, 583, 'Characteristics of  chronic Bronchitis', '2024-03-06 18:17:05', '2024-03-06 18:17:05'),
(777, 584, 'What are the causes of acute Bronchitis?', '2024-03-06 18:17:07', '2024-03-06 18:17:07'),
(778, 585, 'What are the causes of chronic Bronchitis?', '2024-03-06 18:17:10', '2024-03-06 18:17:10'),
(779, 586, 'What are the tests suggested for diagnosing bronchitis?', '2024-03-06 18:17:13', '2024-03-06 18:17:13'),
(780, 587, 'What are the lab values of tests required for bronchitis?', '2024-03-06 18:17:15', '2024-03-06 18:17:15'),
(781, 588, 'Can smoking cause bronchitis?', '2024-03-06 18:17:17', '2024-03-06 18:17:17'),
(782, 589, 'Can bronchitis lead to pneumonia?', '2024-03-06 18:17:20', '2024-03-06 18:17:20'),
(783, 590, 'Is bronchitis more common in certain age groups?', '2024-03-06 18:17:22', '2024-03-06 18:17:22'),
(784, 591, 'Can bronchitis cause shortness of breath?', '2024-03-06 18:17:24', '2024-03-06 18:17:24'),
(785, 592, 'Can bronchitis be treated with antibiotics?', '2024-03-06 18:17:27', '2024-03-06 18:17:27'),
(786, 593, 'Is bed rest necessary for bronchitis recovery?', '2024-03-06 18:17:29', '2024-03-06 18:17:29'),
(787, 594, 'Can bronchitis affect the voice?', '2024-03-06 18:17:31', '2024-03-06 18:17:31'),
(788, 595, 'Can bronchitis cause fatigue?', '2024-03-06 18:17:33', '2024-03-06 18:17:33'),
(789, 596, 'Is there a vaccine for bronchitis?', '2024-03-06 18:17:36', '2024-03-06 18:17:36'),
(790, 597, 'Can bronchitis cause chest pain?', '2024-03-06 18:17:38', '2024-03-06 18:17:38'),
(791, 598, 'Can bronchitis be a recurring condition?', '2024-03-06 18:17:40', '2024-03-06 18:17:40'),
(792, 599, 'Can bronchitis be diagnosed based on a physical examination alone?', '2024-03-06 18:17:42', '2024-03-06 18:17:42'),
(793, 600, 'Can bronchitis affect sleep quality?', '2024-03-06 18:17:45', '2024-03-06 18:17:45'),
(794, 601, 'Can bronchitis cause wheezing?', '2024-03-06 18:17:47', '2024-03-06 18:17:47'),
(795, 602, 'Can bronchitis be a complication of the common cold?', '2024-03-06 18:17:49', '2024-03-06 18:17:49'),
(796, 603, 'Is bronchitis a risk factor for developing chronic obstructive pulmonary disease (COPD)?', '2024-03-06 18:17:52', '2024-03-06 18:17:52'),
(797, 604, 'Can over-the-counter cough medications help with bronchitis?', '2024-03-06 18:17:54', '2024-03-06 18:17:54'),
(798, 605, 'Is there a specific diet recommended for individuals with bronchitis?', '2024-03-06 18:17:56', '2024-03-06 18:17:56'),
(799, 606, 'Can bronchitis cause sinus congestion?', '2024-03-06 18:17:58', '2024-03-06 18:17:58'),
(800, 607, 'Can bronchitis lead to ear infections?', '2024-03-06 18:18:01', '2024-03-06 18:18:01'),
(801, 608, 'Can bronchitis affect blood pressure?', '2024-03-06 18:18:03', '2024-03-06 18:18:03'),
(802, 609, 'Are there complications associated with untreated bronchitis?', '2024-03-06 18:18:05', '2024-03-06 18:18:05'),
(803, 610, 'Can bronchitis cause sinus headaches?', '2024-03-06 18:18:08', '2024-03-06 18:18:08'),
(804, 611, 'Can bronchitis be a side effect of certain medications?', '2024-03-06 18:18:10', '2024-03-06 18:18:10'),
(805, 612, 'Can bronchitis affect the sense of taste and smell?', '2024-03-06 18:18:12', '2024-03-06 18:18:12'),
(806, 613, 'Is there a link between bronchitis and environmental allergies?', '2024-03-06 18:18:15', '2024-03-06 18:18:15'),
(807, 614, 'Can bronchitis cause laryngitis?', '2024-03-06 18:18:17', '2024-03-06 18:18:17'),
(808, 615, 'Can bronchitis cause heart palpitations?', '2024-03-06 18:18:21', '2024-03-06 18:18:21'),
(809, 616, 'Can bronchitis affect athletic performance?', '2024-03-06 18:18:23', '2024-03-06 18:18:23'),
(810, 617, 'Is there a correlation between stress and bronchitis?', '2024-03-06 18:18:25', '2024-03-06 18:18:25'),
(811, 618, 'Can bronchitis be associated with gastrointestinal symptoms?', '2024-03-06 18:18:30', '2024-03-06 18:18:30'),
(812, 619, 'Can bronchitis cause joint pain?', '2024-03-06 18:18:32', '2024-03-06 18:18:32'),
(813, 620, 'Can bronchitis be a complication of gastroesophageal reflux disease (GERD)?', '2024-03-06 18:18:35', '2024-03-06 18:18:35'),
(814, 621, 'Can bronchitis affect blood sugar levels in individuals with diabetes?', '2024-03-06 18:18:39', '2024-03-06 18:18:39'),
(815, 622, 'Can bronchitis be associated with mental health symptoms, such as anxiety or depression?', '2024-03-06 18:18:41', '2024-03-06 18:18:41'),
(816, 623, 'remedy for chronic bronchitis', '2024-03-06 18:18:43', '2024-03-06 18:18:43'),
(817, 624, 'When should I call my doctor?', '2024-03-06 18:18:45', '2024-03-06 18:18:45'),
(818, 625, 'Is it bronchitis or pneumonia?', '2024-03-06 18:18:48', '2024-03-06 18:18:48'),
(819, 626, 'What to do when a child has bronchitis?', '2024-03-06 18:18:51', '2024-03-06 18:18:51'),
(820, 627, 'What are the symptoms of acute bronchitis in a child?', '2024-03-06 18:18:53', '2024-03-06 18:18:53'),
(821, 628, 'How long do acute bronchitis symptoms last in a child?', '2024-03-06 18:18:55', '2024-03-06 18:18:55'),
(822, 629, 'How is acute bronchitis diagnosed in a child?', '2024-03-06 18:18:58', '2024-03-06 18:18:58'),
(823, 630, 'What are possible complications of acute bronchitis in a child?', '2024-03-06 18:19:00', '2024-03-06 18:19:00'),
(824, 631, 'How can I help prevent acute bronchitis in my child?', '2024-03-06 18:19:03', '2024-03-06 18:19:03'),
(825, 632, 'When should I call my child’s healthcare provider?', '2024-03-06 18:19:05', '2024-03-06 18:19:05'),
(826, 633, 'Key points about acute bronchitis in children', '2024-03-06 18:19:07', '2024-03-06 18:19:07'),
(827, 634, 'Which children are at risk for acute bronchitis?', '2024-03-06 18:19:10', '2024-03-06 18:19:10'),
(828, 635, 'What causes acute bronchitis in a child?', '2024-03-06 18:19:15', '2024-03-06 18:19:15'),
(829, 636, 'Can a child survive tuberculosis?', '2024-03-06 18:19:18', '2024-03-06 18:19:18'),
(830, 637, 'Is it common for kids to get tuberculosis?', '2024-03-06 18:19:20', '2024-03-06 18:19:20'),
(831, 638, 'Is there a vaccine for tuberculosis?', '2024-03-06 18:19:22', '2024-03-06 18:19:22'),
(832, 639, 'Which children are at risk for TB infection?', '2024-03-06 18:19:25', '2024-03-06 18:19:25'),
(833, 640, 'How is TB diagnosed in a child?', '2024-03-06 18:19:30', '2024-03-06 18:19:30'),
(834, 641, 'How is TB treated in a child?', '2024-03-06 18:19:32', '2024-03-06 18:19:32'),
(835, 642, 'When should I call my child’s healthcare provider?', '2024-03-06 18:19:37', '2024-03-06 18:19:37'),
(836, 643, 'Key points about TB in children', '2024-03-06 18:19:40', '2024-03-06 18:19:40'),
(837, 644, 'stages of tuberculosis', '2024-03-06 18:19:44', '2024-03-06 18:19:44'),
(838, 645, 'What causes TB in a child?', '2024-03-06 18:19:47', '2024-03-06 18:19:47'),
(839, 646, 'Can tuberculosis affect other organs besides the lungs?', '2024-03-06 18:19:49', '2024-03-06 18:19:49'),
(840, 647, 'How is drug-resistant tuberculosis treated?', '2024-03-06 18:19:53', '2024-03-06 18:19:53'),
(841, 648, 'Is tuberculosis more common in certain regions or populations?', '2024-03-06 18:19:56', '2024-03-06 18:19:56'),
(842, 649, 'Can latent tuberculosis become active?', '2024-03-06 18:19:58', '2024-03-06 18:19:58'),
(843, 650, 'Can TB be transmitted through sharing utensils or touching surfaces?', '2024-03-06 18:20:00', '2024-03-06 18:20:00'),
(844, 651, 'Can TB be transmitted through sexual contact?', '2024-03-06 18:20:04', '2024-03-06 18:20:04'),
(845, 652, 'Is TB more common in people with HIV/AIDS?', '2024-03-06 18:20:08', '2024-03-06 18:20:08'),
(846, 653, 'Can TB be asymptomatic?', '2024-03-06 18:20:10', '2024-03-06 18:20:10'),
(847, 654, 'Can TB cause joint pain?', '2024-03-06 18:20:13', '2024-03-06 18:20:13'),
(848, 655, 'Can TB be detected in a routine blood test?', '2024-03-06 18:20:16', '2024-03-06 18:20:16'),
(849, 656, 'Can someone with TB be contagious before symptoms appear?', '2024-03-06 18:20:18', '2024-03-06 18:20:18'),
(850, 657, 'Can TB be treated with a single antibiotic?', '2024-03-06 18:20:22', '2024-03-06 18:20:22'),
(851, 658, 'Can someone with TB be cured without completing the full course of treatment?', '2024-03-06 18:20:24', '2024-03-06 18:20:24'),
(852, 659, 'Can TB affect children?', '2024-03-06 18:20:27', '2024-03-06 18:20:27'),
(853, 660, 'Can TB cause skin rashes?', '2024-03-06 18:20:29', '2024-03-06 18:20:29'),
(854, 661, 'Can TB be transmitted through breastfeeding?', '2024-03-06 18:20:31', '2024-03-06 18:20:31'),
(855, 662, 'Can TB be transmitted from a pregnant woman to her unborn child?', '2024-03-06 18:20:37', '2024-03-06 18:20:37'),
(856, 663, 'Can a person with TB lead a normal life after treatment?', '2024-03-06 18:20:39', '2024-03-06 18:20:39'),
(857, 664, 'Can TB cause skin rashes?', '2024-03-06 18:20:41', '2024-03-06 18:20:41'),
(858, 665, 'Can TB be transmitted through food or water?', '2024-03-06 18:20:44', '2024-03-06 18:20:44'),
(859, 666, 'Can TB cause hearing loss?', '2024-03-06 18:20:46', '2024-03-06 18:20:46'),
(860, 667, 'Can TB affect the eyes?', '2024-03-06 18:20:48', '2024-03-06 18:20:48'),
(861, 668, 'Can TB be transmitted through blood transfusions?', '2024-03-06 18:20:50', '2024-03-06 18:20:50'),
(862, 669, 'Can TB cause abdominal pain?', '2024-03-06 18:20:52', '2024-03-06 18:20:52'),
(863, 670, 'Can someone with TB become reinfected after treatment?', '2024-03-06 18:20:55', '2024-03-06 18:20:55'),
(864, 671, 'Can TB be transmitted through organ transplantation?', '2024-03-06 18:20:57', '2024-03-06 18:20:57'),
(865, 672, 'Can TB cause persistent coughing after treatment?', '2024-03-06 18:21:17', '2024-03-06 18:21:17'),
(866, 673, 'Can someone with TB have a normal life expectancy after treatment?', '2024-03-06 18:21:19', '2024-03-06 18:21:19'),
(867, 674, 'Can TB be transmitted through respiratory therapy devices?', '2024-03-06 18:21:22', '2024-03-06 18:21:22'),
(868, 675, 'Can TB be transmitted through dental procedures?', '2024-03-06 18:21:24', '2024-03-06 18:21:24'),
(869, 676, 'Can TB affect the liver?', '2024-03-06 18:21:26', '2024-03-06 18:21:26'),
(870, 677, 'Can TB be transmitted through respiratory droplets from talking?', '2024-03-06 18:21:31', '2024-03-06 18:21:31'),
(871, 678, 'Can TB be transmitted through public restrooms?', '2024-03-06 18:21:37', '2024-03-06 18:21:37'),
(872, 679, 'Can someone with TB donate blood after completing treatment?', '2024-03-06 18:21:40', '2024-03-06 18:21:40'),
(873, 680, 'Can TB be transmitted through sharing personal hygiene items, such as razors?', '2024-03-06 18:21:43', '2024-03-06 18:21:43'),
(874, 681, 'Can TB be transmitted through nail salons or manicures?', '2024-03-06 18:21:50', '2024-03-06 18:21:50'),
(875, 682, 'Can TB be transmitted through coughing or sneezing in open spaces?', '2024-03-06 18:21:53', '2024-03-06 18:21:53'),
(876, 683, 'Can TB be transmitted through insect bites?', '2024-03-06 18:21:56', '2024-03-06 18:21:56'),
(877, 684, 'Can TB cause diabetes?', '2024-03-06 18:22:01', '2024-03-06 18:22:01'),
(878, 685, 'Can TB be transmitted through breastfeeding if the mother is on treatment?', '2024-03-06 18:22:04', '2024-03-06 18:22:04'),
(879, 686, 'Can TB be transmitted through tears or eye contact?', '2024-03-06 18:22:08', '2024-03-06 18:22:08'),
(880, 687, 'Can someone with TB travel internationally after treatment?', '2024-03-06 18:22:12', '2024-03-06 18:22:12'),
(881, 688, 'Can TB be transmitted through tattoos or piercings?', '2024-03-06 18:22:14', '2024-03-06 18:22:14'),
(882, 689, 'Can TB be transmitted through respiratory droplets from talking?', '2024-03-06 18:22:16', '2024-03-06 18:22:16'),
(883, 690, 'what does LRTi mean?', '2024-03-06 18:22:18', '2024-03-06 18:22:18'),
(884, 691, 'What are LRTIs?', '2024-03-06 18:22:21', '2024-03-06 18:22:21'),
(885, 692, 'What are the risk factors for LRTIS', '2024-03-06 18:22:23', '2024-03-06 18:22:23'),
(886, 693, 'What causes LRTIs?', '2024-03-06 18:22:25', '2024-03-06 18:22:25'),
(887, 694, 'What is the recovery timefor LRTIs?', '2024-03-06 18:22:27', '2024-03-06 18:22:27'),
(888, 695, 'What are the examples of lower respiratory infections?', '2024-03-06 18:22:30', '2024-03-06 18:22:30'),
(889, 696, 'What are the common symptoms of lower respiratory tract infections?', '2024-03-06 18:22:33', '2024-03-06 18:22:33'),
(890, 697, 'How are lower respiratory tract infections diagnosed?', '2024-03-06 18:22:35', '2024-03-06 18:22:35'),
(891, 698, 'Are lower respiratory tract infections contagious?', '2024-03-06 18:22:37', '2024-03-06 18:22:37'),
(892, 699, 'Are lower respiratory tract infections more common in certain populations?', '2024-03-06 18:22:40', '2024-03-06 18:22:40'),
(893, 700, 'Can lower respiratory tract infections be prevented?', '2024-03-06 18:22:43', '2024-03-06 18:22:43'),
(894, 701, 'Are all lower respiratory tract infections treated with antibiotics?', '2024-03-06 18:22:45', '2024-03-06 18:22:45'),
(895, 702, 'Can smoking increase the risk of lower respiratory tract infections?', '2024-03-06 18:22:47', '2024-03-06 18:22:47'),
(896, 703, 'Are there complications associated with untreated lower respiratory tract infections?', '2024-03-06 18:22:50', '2024-03-06 18:22:50'),
(897, 704, 'Can lower respiratory tract infections lead to long-term lung damage?', '2024-03-06 18:22:52', '2024-03-06 18:22:52'),
(898, 705, 'Is it possible to get reinfected with the same lower respiratory tract infection?', '2024-03-06 18:22:55', '2024-03-06 18:22:55'),
(899, 706, 'How effective are flu vaccines in preventing lower respiratory tract infections?', '2024-03-06 18:22:57', '2024-03-06 18:22:57'),
(900, 707, 'Can lower respiratory tract infections be transmitted through surfaces or objects?', '2024-03-06 18:23:00', '2024-03-06 18:23:00'),
(901, 708, 'When should someone with a lower respiratory tract infection seek emergency medical attention?', '2024-03-06 18:23:02', '2024-03-06 18:23:02'),
(902, 709, 'Can lower respiratory tract infections be more severe in individuals with underlying health conditions?', '2024-03-06 18:23:05', '2024-03-06 18:23:05'),
(903, 710, 'Are there specific antibiotics for treating bacterial lower respiratory tract infections?', '2024-03-06 18:23:07', '2024-03-06 18:23:07'),
(904, 711, 'Is it safe to self-diagnose and self-treat lower respiratory tract infections with over-the-counter medications?', '2024-03-06 18:23:09', '2024-03-06 18:23:09'),
(905, 712, 'Can lower respiratory tract infections lead to chronic conditions like chronic obstructive pulmonary disease (COPD)?', '2024-03-06 18:23:13', '2024-03-06 18:23:13'),
(906, 713, 'Are there lifestyle changes that can help prevent lower respiratory tract infections?', '2024-03-06 18:23:15', '2024-03-06 18:23:15'),
(907, 714, 'Can lower respiratory tract infections be caused by exposure to environmental pollutants?', '2024-03-06 18:23:19', '2024-03-06 18:23:19'),
(908, 715, 'Can allergies contribute to the development of lower respiratory tract infections?', '2024-03-06 18:23:22', '2024-03-06 18:23:22'),
(909, 716, 'What is the role of antiviral medications in treating lower respiratory tract infections?', '2024-03-06 18:23:24', '2024-03-06 18:23:24'),
(910, 717, 'Can lower respiratory tract infections cause complications during pregnancy?', '2024-03-06 18:23:26', '2024-03-06 18:23:26'),
(911, 718, 'Are there specific dietary recommendations for individuals recovering from lower respiratory tract infections?', '2024-03-06 18:23:29', '2024-03-06 18:23:29'),
(912, 719, 'Is there a risk of antibiotic resistance in treating lower respiratory tract infections?', '2024-03-06 18:23:31', '2024-03-06 18:23:31'),
(913, 720, 'Can lower respiratory tract infections lead to pleurisy?', '2024-03-06 18:23:33', '2024-03-06 18:23:33'),
(914, 721, 'How effective are masks in preventing the transmission of lower respiratory tract infections?', '2024-03-06 18:23:35', '2024-03-06 18:23:35'),
(915, 722, 'Can pets transmit lower respiratory tract infections to humans?', '2024-03-06 18:23:39', '2024-03-06 18:23:39'),
(916, 723, 'Are there specific considerations for managing lower respiratory tract infections in children?', '2024-03-06 18:23:41', '2024-03-06 18:23:41'),
(917, 724, 'Can lower respiratory tract infections be a complication of COVID-19?', '2024-03-06 18:23:45', '2024-03-06 18:23:45'),
(918, 725, 'Can travel increase the risk of contracting lower respiratory tract infections?', '2024-03-06 18:23:48', '2024-03-06 18:23:48'),
(919, 726, 'Are there support groups or resources for individuals recovering from severe lower respiratory tract infections?', '2024-03-06 18:23:50', '2024-03-06 18:23:50'),
(920, 727, 'Can lower respiratory tract infections be caused by atypical pathogens?', '2024-03-06 18:23:52', '2024-03-06 18:23:52'),
(921, 728, 'What role do corticosteroids play in the treatment of lower respiratory tract infections?', '2024-03-06 18:23:54', '2024-03-06 18:23:54'),
(922, 729, 'Is there a connection between gastroesophageal reflux disease (GERD) and lower respiratory tract infections?', '2024-03-06 18:23:57', '2024-03-06 18:23:57'),
(923, 730, 'Can lower respiratory tract infections be a complication of organ transplantation?', '2024-03-06 18:23:59', '2024-03-06 18:23:59'),
(924, 731, 'How effective are home remedies like steam inhalation in managing lower respiratory tract infections?', '2024-03-06 18:24:02', '2024-03-06 18:24:02'),
(925, 732, 'Can lower respiratory tract infections cause pleural effusion?', '2024-03-06 18:24:04', '2024-03-06 18:24:04'),
(926, 733, 'Is there a connection between environmental allergies and susceptibility to lower respiratory tract infections?', '2024-03-06 18:24:06', '2024-03-06 18:24:06'),
(927, 734, 'Can lower respiratory tract infections lead to acute respiratory distress syndrome (ARDS)?', '2024-03-06 18:24:09', '2024-03-06 18:24:09'),
(928, 735, 'What is the significance of the influenza vaccine in preventing lower respiratory tract infections?', '2024-03-06 18:24:11', '2024-03-06 18:24:11'),
(929, 736, 'Can lower respiratory tract infections cause heart-related complications?', '2024-03-06 18:24:13', '2024-03-06 18:24:13'),
(930, 737, 'Are there specific recommendations for preventing lower respiratory tract infections in individuals with compromised immune systems?', '2024-03-06 18:24:15', '2024-03-06 18:24:15'),
(931, 738, 'Can lower respiratory tract infections be linked to occupational exposures, such as asbestos or dust?', '2024-03-06 18:24:18', '2024-03-06 18:24:18'),
(932, 739, 'Can lower respiratory tract infections affect the sense of taste and smell?', '2024-03-06 18:24:20', '2024-03-06 18:24:20'),
(933, 740, 'What is the impact of air pollution on the prevalence of lower respiratory tract infections?', '2024-03-06 18:24:22', '2024-03-06 18:24:22'),
(934, 741, 'Are there specific considerations for managing lower respiratory tract infections in the elderly?', '2024-03-06 18:24:24', '2024-03-06 18:24:24'),
(935, 742, 'Can lower respiratory tract infections lead to chronic bronchitis?', '2024-03-06 18:24:26', '2024-03-06 18:24:26'),
(936, 743, 'Are there alternative therapies or complementary approaches for managing lower respiratory tract infections?', '2024-03-06 18:24:29', '2024-03-06 18:24:29'),
(937, 744, 'Can lower respiratory tract infections be a complication of autoimmune diseases?', '2024-03-06 18:24:31', '2024-03-06 18:24:31'),
(938, 745, 'Can lower respiratory tract infections affect sleep patterns?', '2024-03-06 18:24:33', '2024-03-06 18:24:33'),
(939, 746, 'Are there long-term consequences for lung function after recovering from lower respiratory tract infections?', '2024-03-06 18:24:35', '2024-03-06 18:24:35'),
(940, 747, 'How is waste water testing used for covid', '2024-03-06 18:25:51', '2024-03-06 18:25:51'),
(941, 748, 'Can I get sick with Covid through contact with urine, faeces or sewage?', '2024-03-06 18:25:54', '2024-03-06 18:25:54'),
(942, 749, 'Can I get sick with Covid from swimming in the sea, rivers, lakes or swimming pools?', '2024-03-06 18:25:55', '2024-03-06 18:25:55'),
(943, 750, 'Can i get sick with Covid from drinking water?', '2024-03-06 18:25:56', '2024-03-06 18:25:56'),
(944, 751, 'Can waste water testing be conducted in low-resource setting?', '2024-03-06 18:25:58', '2024-03-06 18:25:58');
INSERT INTO `patterns` (`id`, `intent_id`, `content`, `created_at`, `updated_at`) VALUES
(945, 752, 'Does WHO recommend environmental surveilance of watse water for covid?', '2024-03-06 18:25:59', '2024-03-06 18:25:59'),
(946, 753, 'how can food businesses remain safe from virus contamination?', '2024-03-06 18:26:00', '2024-03-06 18:26:00'),
(947, 754, 'Should grocery store workers wear gloves and masks?', '2024-03-06 18:26:01', '2024-03-06 18:26:01'),
(948, 755, 'What is the protocol when an employee working in a food business becomes ill with COVID-19?', '2024-03-06 18:26:04', '2024-03-06 18:26:04'),
(949, 756, 'When can an employee return to work following illness?', '2024-03-06 18:26:05', '2024-03-06 18:26:05'),
(950, 757, 'Are temperature checks appropriate for food workers?', '2024-03-06 18:26:06', '2024-03-06 18:26:06'),
(951, 758, 'What specific precautions do food workers need to take?', '2024-03-06 18:26:08', '2024-03-06 18:26:08'),
(952, 759, 'How should employees maintain safe distance from one another during food processing and production?', '2024-03-06 18:26:09', '2024-03-06 18:26:09'),
(953, 760, 'How should trolleys and shopping carts be disinfected?', '2024-03-06 18:26:11', '2024-03-06 18:26:11'),
(954, 761, 'what is the most appropriate sanitizer to use on surfaces in food production environment?', '2024-03-06 18:26:12', '2024-03-06 18:26:12'),
(955, 762, 'Could the virus be transmitted from humans to food animals or vice versa?', '2024-03-06 18:26:13', '2024-03-06 18:26:13'),
(956, 763, 'Wha measures should be taken to ensure safe transport of food during the pandemic?', '2024-03-06 18:26:15', '2024-03-06 18:26:15'),
(957, 764, 'what measures should be taken to ensure safe transport of food during this pandemic?', '2024-03-06 18:26:16', '2024-03-06 18:26:16'),
(958, 765, 'How should food premises be cleaned/ disinfected?', '2024-03-06 18:26:17', '2024-03-06 18:26:17'),
(959, 766, 'Someone in my household tested positive for COVID-19. Is it safe to care for them at home', '2024-03-06 18:26:18', '2024-03-06 18:26:18'),
(960, 767, 'Which people are at high risk of getting Covid?', '2024-03-06 18:26:19', '2024-03-06 18:26:19'),
(961, 768, 'How long does it take for someone to be in isolation?', '2024-03-06 18:26:21', '2024-03-06 18:26:21'),
(962, 769, 'what is the difference between people who are asymptomatic and those who are pre-symptomatic?', '2024-03-06 18:26:22', '2024-03-06 18:26:22'),
(963, 770, 'How can I reduce the risk of getting Covid-19?', '2024-03-06 18:26:24', '2024-03-06 18:26:24'),
(964, 771, 'Are there certain settings where Covid can easily be spread?', '2024-03-06 18:26:25', '2024-03-06 18:26:25'),
(965, 772, 'When do infected people transmit the virus?', '2024-03-06 18:26:26', '2024-03-06 18:26:26'),
(966, 773, 'If i have been vaccintaed against covid-19, can i safely care for someone with COVID-19 infection without risk?', '2024-03-06 18:26:27', '2024-03-06 18:26:27'),
(967, 774, 'Is there a vaccine, drug or treatment for COVID-19?', '2024-03-06 18:26:30', '2024-03-06 18:26:30'),
(968, 775, 'What can older people do to prepare for covid-19 in their community?', '2024-03-06 18:26:31', '2024-03-06 18:26:31'),
(969, 776, 'How can iI keep healthy on a daily basis during the COVID-19 pandemic?', '2024-03-06 18:26:36', '2024-03-06 18:26:36'),
(970, 777, 'What should I do if i have covid sympptoms?', '2024-03-06 18:26:37', '2024-03-06 18:26:37'),
(971, 778, 'I have recently lost someone I care about. What advvice do you have to help  me cope?', '2024-03-06 18:26:39', '2024-03-06 18:26:39'),
(972, 779, 'What precautions are necessary when visiting someone in a health and/or long-term facilty?', '2024-03-06 18:26:41', '2024-03-06 18:26:41'),
(973, 780, 'what is Serology?', '2024-03-06 18:26:42', '2024-03-06 18:26:42'),
(974, 781, 'What is the difference between molecular testing and serologic testing?', '2024-03-06 18:26:44', '2024-03-06 18:26:44'),
(975, 782, 'What is the purpose of serologic testing?', '2024-03-06 18:26:48', '2024-03-06 18:26:48'),
(976, 783, 'Can people who have had SARS-CoV-2 infection be reinfected?', '2024-03-06 18:26:51', '2024-03-06 18:26:51'),
(977, 784, 'What is herd immunity?', '2024-03-06 18:26:56', '2024-03-06 18:26:56'),
(978, 785, 'How likely is it for a child to become sick with coronavirus disease 2019 (COVID-19)?', '2024-03-06 18:26:58', '2024-03-06 18:26:58'),
(979, 786, 'Which children are likely to get Covid?', '2024-03-06 18:26:59', '2024-03-06 18:26:59'),
(980, 787, 'When to call a health personel for my child', '2024-03-06 18:27:00', '2024-03-06 18:27:00'),
(981, 788, 'COVID symptoms in babies, toddlers and children', '2024-03-06 18:27:01', '2024-03-06 18:27:01'),
(982, 789, 'Multisystem Inflammatory Syndrome in Children (MIS-C)', '2024-03-06 18:27:03', '2024-03-06 18:27:03'),
(983, 790, 'How to Protect Your Child from MIS-C', '2024-03-06 18:27:04', '2024-03-06 18:27:04'),
(984, 791, 'What to Do If You Think Your Child is Sick with MIS-C', '2024-03-06 18:27:06', '2024-03-06 18:27:06'),
(985, 792, 'signs and symptoms of MIS-C', '2024-03-06 18:27:07', '2024-03-06 18:27:07'),
(986, 793, 'How do live with COPD?', '2024-03-06 18:27:08', '2024-03-06 18:27:08'),
(987, 794, 'What causes COPD?', '2024-03-06 18:27:09', '2024-03-06 18:27:09'),
(988, 795, 'Are there other problems that are associated with COPD?', '2024-03-06 18:27:11', '2024-03-06 18:27:11'),
(989, 796, 'What can be done after getting COPD from smoking?', '2024-03-06 18:27:12', '2024-03-06 18:27:12'),
(990, 797, 'How do the lungs operate?', '2024-03-06 18:27:13', '2024-03-06 18:27:13'),
(991, 798, 'what is COPD?', '2024-03-06 18:27:14', '2024-03-06 18:27:14'),
(992, 799, 'Can I still be active when I have COPD?', '2024-03-06 18:27:15', '2024-03-06 18:27:15'),
(993, 800, 'What do I do if my symptoms change?', '2024-03-06 18:27:17', '2024-03-06 18:27:17'),
(994, 801, 'tuberculosis cause', '2024-04-18 09:44:10', '2024-04-18 09:44:10'),
(995, 802, 'Can TB cause infertility?', '2024-04-18 09:44:11', '2024-04-18 09:44:11'),
(996, 803, 'How is latent TB diagnosed?', '2024-04-18 09:44:12', '2024-04-18 09:44:12'),
(997, 804, 'How is active TB diagnosed?', '2024-04-18 09:44:13', '2024-04-18 09:44:13'),
(998, 805, 'What is directly observed therapy (DOT)?', '2024-04-18 09:44:15', '2024-04-18 09:44:15'),
(999, 806, 'Can TB be transmitted through sexual contact', '2024-04-18 09:44:16', '2024-04-18 09:44:16'),
(1000, 807, 'Can TB be transmitted through sharing utensils or kissing?', '2024-04-18 09:44:17', '2024-04-18 09:44:17'),
(1001, 808, 'Can adults get the BCG vaccine?', '2024-04-18 09:44:18', '2024-04-18 09:44:18'),
(1002, 809, 'Is the BCG vaccine widely used?', '2024-04-18 09:44:19', '2024-04-18 09:44:19'),
(1003, 810, 'Does the BCG vaccine provide lifelong immunity?', '2024-04-18 09:44:21', '2024-04-18 09:44:21'),
(1004, 811, 'Is there a vaccine for TB?', '2024-04-18 09:44:23', '2024-04-18 09:44:23'),
(1005, 812, 'Can TB cause AIDS?', '2024-04-18 09:44:24', '2024-04-18 09:44:24'),
(1006, 813, 'Can Tuberculosis cause AIDS?', '2024-04-18 09:44:25', '2024-04-18 09:44:25'),
(1007, 814, 'Can TB cause death?', '2024-04-18 09:44:26', '2024-04-18 09:44:26'),
(1008, 815, 'Can TB cause lung cancer', '2024-04-18 09:44:29', '2024-04-18 09:44:29'),
(1009, 816, 'Can TB be transmitted through feces?', '2024-04-18 09:44:33', '2024-04-18 09:44:33'),
(1010, 817, 'Can TB be transmitted through faeces?', '2024-04-18 09:44:34', '2024-04-18 09:44:34'),
(1011, 818, 'Can TB be transmitted through poop?', '2024-04-18 09:44:35', '2024-04-18 09:44:35'),
(1012, 819, 'Can tuberculosis come back after treatment?', '2024-04-18 09:44:36', '2024-04-18 09:44:36'),
(1013, 820, 'Can tuberculosis cause gastrointestinal problems?', '2024-04-18 09:44:37', '2024-04-18 09:44:37'),
(1014, 821, 'Can tuberculosis cause kidney problems?', '2024-04-18 09:44:38', '2024-04-18 09:44:38'),
(1015, 822, 'Can TB cause kidney problems?', '2024-04-18 09:44:39', '2024-04-18 09:44:39'),
(1016, 823, 'Can tuberculosis cause liver problems?', '2024-04-18 09:44:40', '2024-04-18 09:44:40'),
(1017, 824, 'Can TB cause liver problems?', '2024-04-18 09:44:41', '2024-04-18 09:44:41'),
(1018, 825, 'Can tuberculosis cause heart problems?', '2024-04-18 09:44:42', '2024-04-18 09:44:42'),
(1019, 826, 'Can TB cause heart problems?', '2024-04-18 09:44:43', '2024-04-18 09:44:43'),
(1020, 827, 'Is there a connection between diabetes and tuberculosis?', '2024-04-18 09:44:44', '2024-04-18 09:44:44'),
(1021, 828, 'Are there any dietary restrictions for tuberculosis patients?', '2024-04-18 09:44:47', '2024-04-18 09:44:47'),
(1022, 829, 'Are there specific foods a person with TB is supposed to eat?', '2024-04-18 09:44:52', '2024-04-18 09:44:52'),
(1023, 830, 'What are the side effects of tuberculosis treatment?', '2024-04-18 09:44:53', '2024-04-18 09:44:53'),
(1024, 831, 'What is extensively drug-resistant tuberculosis (XDR-TB)?', '2024-04-18 09:44:57', '2024-04-18 09:44:57'),
(1025, 832, 'How is extensively drug-resistant tuberculosis treated?', '2024-04-18 09:44:58', '2024-04-18 09:44:58'),
(1026, 833, 'Effects of the treatment of the XDR-TB', '2024-04-18 09:44:59', '2024-04-18 09:44:59'),
(1027, 834, 'Can TB affect HIV-positive individuals?', '2024-04-18 09:45:00', '2024-04-18 09:45:00'),
(1028, 835, 'Can tuberculosis affect pregnant women?', '2024-04-18 09:45:03', '2024-04-18 09:45:03'),
(1029, 836, 'What is the meaning of TDR TB?', '2024-04-18 09:45:05', '2024-04-18 09:45:05'),
(1030, 837, 'What is drug resistant TB?', '2024-04-18 09:45:08', '2024-04-18 09:45:08'),
(1031, 838, 'What causes TB drug resistancy', '2024-04-18 09:45:11', '2024-04-18 09:45:11'),
(1032, 839, 'How is drug-resistant tuberculosis treated?', '2024-04-18 09:45:13', '2024-04-18 09:45:13'),
(1033, 840, 'Is there a connection between tuberculosis and malnutrition?', '2024-04-18 09:45:14', '2024-04-18 09:45:14'),
(1034, 841, 'TB and malnutrition', '2024-04-18 09:45:18', '2024-04-18 09:45:18'),
(1035, 842, 'Can tuberculosis cause complications during pregnancy?', '2024-04-18 09:45:19', '2024-04-18 09:45:19'),
(1036, 843, 'Can tuberculosis affect the spine?', '2024-04-18 09:45:20', '2024-04-18 09:45:20'),
(1037, 844, 'Can tuberculosis cause infertility in men?', '2024-04-18 09:45:21', '2024-04-18 09:45:21'),
(1038, 845, 'Can TB  cause infertility in men?', '2024-04-18 09:45:22', '2024-04-18 09:45:22'),
(1039, 846, 'Can TB  cause infertility in women?', '2024-04-18 09:45:23', '2024-04-18 09:45:23'),
(1040, 847, 'Can tuberculosis cause lung fibrosis?', '2024-04-18 09:45:25', '2024-04-18 09:45:25'),
(1041, 848, 'Can tuberculosis cause sepsis?', '2024-04-18 09:45:26', '2024-04-18 09:45:26'),
(1042, 849, 'Can tuberculosis cause chronic fatigue?', '2024-04-18 09:45:28', '2024-04-18 09:45:28'),
(1043, 850, 'Is there a link between smoking and tuberculosis?', '2024-04-18 09:45:29', '2024-04-18 09:45:29'),
(1044, 851, 'How common is tuberculosis worldwide?', '2024-04-18 09:45:38', '2024-04-18 09:45:38'),
(1045, 852, 'What are the different types of tuberculosis?', '2024-04-18 09:45:40', '2024-04-18 09:45:40'),
(1046, 853, 'Is tuberculosis more common in certain regions of the world?', '2024-04-18 09:45:48', '2024-04-18 09:45:48'),
(1047, 854, 'Can tuberculosis cause lymphadenitis?', '2024-04-18 09:45:51', '2024-04-18 09:45:51'),
(1048, 855, 'Can tuberculosis cause scarring of the lungs?', '2024-04-18 09:45:52', '2024-04-18 09:45:52'),
(1049, 856, 'What is community-acquired pneumonia (CAP)?', '2024-04-18 09:46:01', '2024-04-18 09:46:01'),
(1050, 857, 'What is hospital-acquired pneumonia (HAP)?', '2024-04-18 09:46:03', '2024-04-18 09:46:03'),
(1051, 858, 'What is ventilator-associated pneumonia (VAP)?', '2024-04-18 09:46:07', '2024-04-18 09:46:07'),
(1052, 859, 'Is pneumonia a serious condition?', '2024-04-18 09:46:09', '2024-04-18 09:46:09'),
(1053, 860, 'Is pneumonia contagious?', '2024-04-18 09:46:10', '2024-04-18 09:46:10'),
(1054, 861, 'What are the different types of pneumonia?', '2024-04-18 09:46:11', '2024-04-18 09:46:11'),
(1055, 862, 'Can pneumonia cause lung scarring?', '2024-04-18 09:46:15', '2024-04-18 09:46:15'),
(1056, 863, 'Can pneumonia cause confusion or delirium?', '2024-04-18 09:46:16', '2024-04-18 09:46:16'),
(1057, 864, 'Can pneumonia cause dehydration?', '2024-04-18 09:46:17', '2024-04-18 09:46:17'),
(1058, 865, 'Can pneumonia cause nausea and vomiting?', '2024-04-18 09:46:18', '2024-04-18 09:46:18'),
(1059, 866, 'Can pneumonia cause a sore throat?', '2024-04-18 09:46:20', '2024-04-18 09:46:20'),
(1060, 867, 'Can pneumonia cause back pain?', '2024-04-18 09:46:21', '2024-04-18 09:46:21'),
(1061, 868, 'Can pneumonia cause a low oxygen level in the blood?', '2024-04-18 09:46:22', '2024-04-18 09:46:22'),
(1062, 869, 'Can pneumonia cause high blood pressure?', '2024-04-18 09:46:23', '2024-04-18 09:46:23'),
(1063, 870, 'Can pneumonia cause night sweats?', '2024-04-18 09:46:25', '2024-04-18 09:46:25'),
(1064, 871, 'Can pneumonia cause difficulty breathing while lying down?', '2024-04-18 09:46:26', '2024-04-18 09:46:26'),
(1065, 872, 'Can pneumonia cause wheezing?', '2024-04-18 09:46:27', '2024-04-18 09:46:27'),
(1066, 873, 'Can pneumonia cause a rash?', '2024-04-18 09:46:28', '2024-04-18 09:46:28'),
(1067, 874, 'Can pneumonia cause swollen lymph nodes?', '2024-04-18 09:46:30', '2024-04-18 09:46:30'),
(1068, 875, 'Can pneumonia cause blood in the urine?', '2024-04-18 09:46:31', '2024-04-18 09:46:31'),
(1069, 876, 'Can pneumonia cause a loss of appetite?', '2024-04-18 09:46:32', '2024-04-18 09:46:32'),
(1070, 877, 'Can pneumonia cause muscle weakness?', '2024-04-18 09:46:33', '2024-04-18 09:46:33'),
(1071, 878, 'Can pneumonia cause excessive sweating?', '2024-04-18 09:46:34', '2024-04-18 09:46:34'),
(1072, 879, 'Can pneumonia cause pleurisy?', '2024-04-18 09:46:35', '2024-04-18 09:46:35'),
(1073, 880, 'Can pneumonia cause hives?', '2024-04-18 09:46:36', '2024-04-18 09:46:36'),
(1074, 881, 'Can pneumonia cause blood clots?', '2024-04-18 09:46:37', '2024-04-18 09:46:37'),
(1075, 882, 'Can pneumonia cause hair loss?', '2024-04-18 09:46:38', '2024-04-18 09:46:38'),
(1076, 883, 'Can pneumonia cause heart palpitations?', '2024-04-18 09:46:40', '2024-04-18 09:46:40'),
(1077, 884, 'Can pneumonia cause depression?', '2024-04-18 09:46:41', '2024-04-18 09:46:41'),
(1078, 885, 'Can pneumonia cause sinus congestion?', '2024-04-18 09:46:42', '2024-04-18 09:46:42'),
(1079, 886, 'Can pneumonia cause mouth sores?', '2024-04-18 09:46:43', '2024-04-18 09:46:43'),
(1080, 887, 'Can pneumonia cause swollen ankles?', '2024-04-18 09:46:44', '2024-04-18 09:46:44'),
(1081, 888, 'Can pneumonia cause green or yellow mucus?', '2024-04-18 09:46:46', '2024-04-18 09:46:46'),
(1082, 889, 'Can pneumonia cause chronic fatigue after recovery?', '2024-04-18 09:46:47', '2024-04-18 09:46:47'),
(1083, 890, 'Can pneumonia cause recurring infections?', '2024-04-18 09:46:48', '2024-04-18 09:46:48'),
(1084, 891, 'Can pneumonia cause weight loss?', '2024-04-18 09:46:49', '2024-04-18 09:46:49'),
(1085, 892, 'Can pneumonia cause a fever that persists after treatment?', '2024-04-18 09:46:50', '2024-04-18 09:46:50'),
(1086, 893, 'Can pneumonia cause a sore tongue?', '2024-04-18 09:46:51', '2024-04-18 09:46:51'),
(1087, 894, 'Can pneumonia cause swollen tonsils?', '2024-04-18 09:46:52', '2024-04-18 09:46:52'),
(1088, 895, 'Can pneumonia cause red eyes?', '2024-04-18 09:46:53', '2024-04-18 09:46:53'),
(1089, 896, 'Can pneumonia cause shaking chills?', '2024-04-18 09:46:56', '2024-04-18 09:46:56'),
(1090, 897, 'Can pneumonia cause a productive cough?', '2024-04-18 09:46:57', '2024-04-18 09:46:57'),
(1091, 898, 'Can pneumonia cause cyanosis?', '2024-04-18 09:46:59', '2024-04-18 09:46:59'),
(1092, 899, 'Can pneumonia cause nail clubbing?', '2024-04-18 09:47:00', '2024-04-18 09:47:00'),
(1093, 900, 'Can pneumonia cause a runny nose?', '2024-04-18 09:47:01', '2024-04-18 09:47:01'),
(1094, 901, 'Can pneumonia cause diarrhoea?', '2024-04-18 09:47:02', '2024-04-18 09:47:02'),
(1095, 902, 'Can pneumonia cause vomiting?', '2024-04-18 09:47:03', '2024-04-18 09:47:03'),
(1096, 903, 'Can pneumonia cause malaise?', '2024-04-18 09:47:04', '2024-04-18 09:47:04'),
(1097, 904, 'Can pneumonia cause lethargy?', '2024-04-18 09:47:05', '2024-04-18 09:47:05'),
(1098, 905, 'Can pneumonia cause photophobia?', '2024-04-18 09:47:06', '2024-04-18 09:47:06'),
(1099, 906, 'Can pneumonia cause chest tightness?', '2024-04-18 09:47:08', '2024-04-18 09:47:08'),
(1100, 907, 'Can pneumonia be transmitted through sexual contact?', '2024-04-18 09:47:09', '2024-04-18 09:47:09'),
(1101, 908, 'Can pneumonia be caused by inhaling food or liquids?', '2024-04-18 09:47:10', '2024-04-18 09:47:10'),
(1102, 909, 'Can pneumonia cause a loss of smell or taste?', '2024-04-18 09:47:11', '2024-04-18 09:47:11'),
(1103, 910, 'Can pneumonia cause a hoarse voice?', '2024-04-18 09:47:12', '2024-04-18 09:47:12'),
(1104, 911, 'Can pneumonia cause difficulty swallowing?', '2024-04-18 09:47:13', '2024-04-18 09:47:13'),
(1105, 912, 'Can pneumonia cause chest burning?', '2024-04-18 09:47:15', '2024-04-18 09:47:15'),
(1106, 913, 'Can pneumonia cause skin discoloration?', '2024-04-18 09:47:16', '2024-04-18 09:47:16'),
(1107, 914, 'Can pneumonia cause sleep disturbances?', '2024-04-18 09:47:17', '2024-04-18 09:47:17'),
(1108, 915, 'Can pneumonia cause mood changes?', '2024-04-18 09:47:19', '2024-04-18 09:47:19'),
(1109, 916, 'Can pneumonia cause hallucinations?', '2024-04-18 09:47:20', '2024-04-18 09:47:20'),
(1110, 917, 'Can pneumonia cause urinary symptoms?', '2024-04-18 09:47:21', '2024-04-18 09:47:21'),
(1111, 918, 'Can pneumonia cause joint swelling?', '2024-04-18 09:47:22', '2024-04-18 09:47:22'),
(1112, 919, 'Can pneumonia cause chest rattling?', '2024-04-18 09:47:23', '2024-04-18 09:47:23'),
(1113, 920, 'Can pneumonia cause abdominal bloating?', '2024-04-18 09:47:24', '2024-04-18 09:47:24'),
(1114, 921, 'Can pneumonia cause difficulty speaking?', '2024-04-18 09:47:25', '2024-04-18 09:47:25'),
(1115, 922, 'Can pneumonia cause lightheadedness or fainting?', '2024-04-18 09:47:26', '2024-04-18 09:47:26'),
(1116, 923, 'Can pneumonia cause neck pain?', '2024-04-18 09:47:27', '2024-04-18 09:47:27'),
(1117, 924, 'Can pneumonia cause a rapid or irregular heartbeat?', '2024-04-18 09:47:28', '2024-04-18 09:47:28'),
(1118, 925, 'Can pneumonia cause difficulty concentrating or memory problems?', '2024-04-18 09:47:29', '2024-04-18 09:47:29'),
(1119, 926, 'Can pneumonia cause swollen tonsils or lymph nodes in the neck?', '2024-04-18 09:47:31', '2024-04-18 09:47:31'),
(1120, 927, 'Can pneumonia cause cold hands or feet?', '2024-04-18 09:47:32', '2024-04-18 09:47:32'),
(1121, 928, 'Can pneumonia cause a runny nose or sneezing?', '2024-04-18 09:47:34', '2024-04-18 09:47:34'),
(1122, 929, 'Can pneumonia cause pale or bluish skin?', '2024-04-18 09:47:35', '2024-04-18 09:47:35'),
(1123, 930, 'Can pneumonia cause a loss of coordination or balance?', '2024-04-18 09:47:36', '2024-04-18 09:47:36'),
(1124, 931, 'Can pneumonia cause swollen or painful joints?', '2024-04-18 09:47:37', '2024-04-18 09:47:37'),
(1125, 932, 'Can pneumonia cause swollen or tender glands in the neck?', '2024-04-18 09:47:38', '2024-04-18 09:47:38'),
(1126, 933, 'Can pneumonia cause a feeling of heaviness or pressure in the head?', '2024-04-18 09:47:39', '2024-04-18 09:47:39'),
(1127, 934, 'Can pneumonia cause muscle spasms or cramps?', '2024-04-18 09:47:40', '2024-04-18 09:47:40'),
(1128, 935, 'Can pneumonia cause muscle stiffness or rigidity?', '2024-04-18 09:47:41', '2024-04-18 09:47:41'),
(1129, 936, 'Can pneumonia cause a feeling of pressure or discomfort in the eyes?', '2024-04-18 09:47:42', '2024-04-18 09:47:42'),
(1130, 937, 'Can pneumonia cause sensitivity to touch or pain on the skin?', '2024-04-18 09:47:43', '2024-04-18 09:47:43'),
(1131, 938, 'Can pneumonia cause a feeling of pressure or discomfort in the temples?', '2024-04-18 09:47:44', '2024-04-18 09:47:44'),
(1132, 939, 'Can pneumonia cause numbness or tingling in the extremities?', '2024-04-18 09:47:45', '2024-04-18 09:47:45'),
(1133, 940, 'Can pneumonia cause a feeling of pressure or discomfort in the forehead?', '2024-04-18 09:47:46', '2024-04-18 09:47:46'),
(1134, 941, 'Can pneumonia cause sensitivity to certain foods or odors?', '2024-04-18 09:47:48', '2024-04-18 09:47:48'),
(1135, 942, 'Can pneumonia cause symptoms to worsen with certain activities or movements?', '2024-04-18 09:47:49', '2024-04-18 09:47:49'),
(1136, 943, 'Can pneumonia cause changes in blood pressure or heart rate upon standing?', '2024-04-18 09:47:50', '2024-04-18 09:47:50'),
(1137, 944, 'Can pneumonia cause a persistent dry or tickling cough?', '2024-04-18 09:47:51', '2024-04-18 09:47:51'),
(1138, 945, 'Can pneumonia cause difficulty or discomfort when bending or twisting the torso?', '2024-04-18 09:47:53', '2024-04-18 09:47:53'),
(1139, 946, 'Can pneumonia cause difficulty or pain when swallowing solid foods?', '2024-04-18 09:47:54', '2024-04-18 09:47:54'),
(1140, 947, 'Can pneumonia cause a rapid or irregular pulse rate?', '2024-04-18 09:47:55', '2024-04-18 09:47:55'),
(1141, 948, 'Can pneumonia cause a feeling of weakness or heaviness in the limbs?', '2024-04-18 09:47:56', '2024-04-18 09:47:56'),
(1142, 949, 'Can pneumonia cause a persistent cough with blood-streaked mucus?', '2024-04-18 09:47:57', '2024-04-18 09:47:57'),
(1143, 950, 'Can pneumonia cause a metallic taste in the mouth?', '2024-04-18 09:47:59', '2024-04-18 09:47:59'),
(1144, 951, 'Can pneumonia cause hair or skin to become dry or brittle?', '2024-04-18 09:48:00', '2024-04-18 09:48:00'),
(1145, 952, 'Can pneumonia cause feelings of anxiety or panic?', '2024-04-18 09:48:01', '2024-04-18 09:48:01'),
(1146, 953, 'Can pneumonia cause swollen or puffy eyes?', '2024-04-18 09:48:02', '2024-04-18 09:48:02'),
(1147, 954, 'Can pneumonia cause chest discomfort that worsens with deep breaths?', '2024-04-18 09:48:05', '2024-04-18 09:48:05'),
(1148, 955, 'Can pneumonia cause a sensation of something stuck in the throat?', '2024-04-18 09:48:06', '2024-04-18 09:48:06'),
(1149, 956, 'Can pneumonia cause a persistent foul taste or odor in the mouth?', '2024-04-18 09:48:07', '2024-04-18 09:48:07'),
(1150, 957, 'Can bronchitis turn into pneumonia?', '2024-04-18 09:48:10', '2024-04-18 09:48:10'),
(1151, 958, 'Is bronchitis more common in children or adults?', '2024-04-18 09:48:11', '2024-04-18 09:48:11'),
(1152, 959, 'Can bronchitis cause wheezing?', '2024-04-18 09:48:12', '2024-04-18 09:48:12'),
(1153, 960, 'How long does bronchitis last?', '2024-04-18 09:48:13', '2024-04-18 09:48:13'),
(1154, 961, 'What is the treatment for acute bronchitis?', '2024-04-18 09:48:14', '2024-04-18 09:48:14'),
(1155, 962, 'Can bronchitis cause muscle aches?', '2024-04-18 09:48:15', '2024-04-18 09:48:15'),
(1156, 963, 'Can bronchitis cause chills?', '2024-04-18 09:48:16', '2024-04-18 09:48:16'),
(1157, 964, 'Can bronchitis cause nasal congestion?', '2024-04-18 09:48:17', '2024-04-18 09:48:17'),
(1158, 965, 'Can bronchitis causes diarrhea?', '2024-04-18 09:48:19', '2024-04-18 09:48:19'),
(1159, 966, 'Can bronchitis cause a dry cough?', '2024-04-18 09:48:20', '2024-04-18 09:48:20'),
(1160, 967, 'Can bronchitis cause nasal discharge?', '2024-04-18 09:48:21', '2024-04-18 09:48:21'),
(1161, 968, 'Can bronchitis cause difficulty sleeping?', '2024-04-18 09:48:22', '2024-04-18 09:48:22'),
(1162, 969, 'Can bronchitis cause a fever?', '2024-04-18 09:48:23', '2024-04-18 09:48:23'),
(1163, 970, 'Can bronchitis cause a loss of appetite?', '2024-04-18 09:48:24', '2024-04-18 09:48:24'),
(1164, 971, 'Can bronchitis cause difficulty speaking?', '2024-04-18 09:48:27', '2024-04-18 09:48:27'),
(1165, 972, 'Can bronchitis cause chest tightness or pressure?', '2024-04-18 09:48:29', '2024-04-18 09:48:29'),
(1166, 973, 'Can bronchitis cause difficulty concentrating or memory problems?', '2024-04-18 09:48:30', '2024-04-18 09:48:30'),
(1167, 974, 'Can bronchitis cause difficulty swallowing?', '2024-04-18 09:48:31', '2024-04-18 09:48:31'),
(1168, 975, 'Can bronchitis cause a persistent cough after recovery?', '2024-04-18 09:48:32', '2024-04-18 09:48:32'),
(1169, 976, 'Can bronchitis cause a feeling of lightheadedness or dizziness?', '2024-04-18 09:48:33', '2024-04-18 09:48:33'),
(1170, 977, 'Can bronchitis cause swollen lymph nodes?', '2024-04-18 09:48:34', '2024-04-18 09:48:34'),
(1171, 978, 'Can bronchitis cause a feeling of chest congestion or heaviness?', '2024-04-18 09:48:36', '2024-04-18 09:48:36'),
(1172, 979, 'Can bronchitis cause a feeling of weakness or fatigue?', '2024-04-18 09:48:37', '2024-04-18 09:48:37'),
(1173, 980, 'Can bronchitis cause difficulty or pain when swallowing saliva?', '2024-04-18 09:48:39', '2024-04-18 09:48:39'),
(1174, 981, 'Can bronchitis cause a persistent feeling of throat irritation or scratchiness?', '2024-04-18 09:48:40', '2024-04-18 09:48:40'),
(1175, 982, 'Can bronchitis cause a feeling of numbness or tingling in the extremities?', '2024-04-18 09:48:41', '2024-04-18 09:48:41'),
(1176, 983, 'Can bronchitis cause a feeling of fullness or bloating in the abdomen?', '2024-04-18 09:48:43', '2024-04-18 09:48:43'),
(1177, 984, 'When can I resume my normal activities after bronchitis?', '2024-04-18 09:48:44', '2024-04-18 09:48:44'),
(1178, 985, 'What’s the difference between bronchitis and pneumonia?', '2024-04-18 09:48:45', '2024-04-18 09:48:45'),
(1179, 986, 'Can bronchitis lead to pneumonia?', '2024-04-18 09:48:46', '2024-04-18 09:48:46'),
(1180, 987, 'Is bronchitis contagious?', '2024-04-18 09:48:47', '2024-04-18 09:48:47'),
(1181, 988, 'Can children get bronchitis?', '2024-04-18 09:48:48', '2024-04-18 09:48:48'),
(1182, 989, 'Can bronchitis cause complications?', '2024-04-18 09:48:49', '2024-04-18 09:48:49'),
(1183, 990, 'What is the treatment for viral bronchitis?', '2024-04-18 09:48:50', '2024-04-18 09:48:50'),
(1184, 991, 'Is bronchitis more common in smokers?', '2024-04-18 09:48:53', '2024-04-18 09:48:53'),
(1185, 992, 'What’s the role of mucus in bronchitis?', '2024-04-18 09:48:54', '2024-04-18 09:48:54'),
(1186, 993, 'Is bronchitis more common in winter?', '2024-04-18 09:48:55', '2024-04-18 09:48:55'),
(1187, 994, 'Is bronchitis serious?', '2024-04-18 09:48:57', '2024-04-18 09:48:57'),
(1188, 995, 'Should I get a chest X-ray for bronchitis?', '2024-04-18 09:49:05', '2024-04-18 09:49:05'),
(1189, 996, 'Is there a vaccine for bronchitis?', '2024-04-18 09:49:06', '2024-04-18 09:49:06'),
(1190, 997, 'What foods should I avoid with bronchitis?', '2024-04-18 09:49:17', '2024-04-18 09:49:17'),
(1191, 998, 'Why measure oxygen levels in pneumonia?', '2024-04-18 09:49:29', '2024-04-18 09:49:29'),
(1192, 999, 'Why do I need a chest X-ray for pneumonia?', '2024-04-18 09:49:32', '2024-04-18 09:49:32'),
(1193, 1000, 'Can pneumonia affect the heart?', '2024-04-18 09:49:34', '2024-04-18 09:49:34'),
(1194, 1001, 'Is pneumonia more common in cold climates?', '2024-04-18 09:49:35', '2024-04-18 09:49:35'),
(1195, 1002, 'What is lobar pneumonia?', '2024-04-18 09:49:40', '2024-04-18 09:49:40'),
(1196, 1003, 'What methods can be used for the therapeutic management of pneumonia?', '2024-04-18 09:49:59', '2024-04-18 09:49:59'),
(1197, 1004, 'What type of pneumonia is frequently undiagnosed?', '2024-04-18 09:50:02', '2024-04-18 09:50:02'),
(1198, 1005, 'What are the three key signs of bacterial pneumonia?', '2024-04-18 09:50:04', '2024-04-18 09:50:04'),
(1199, 1006, 'What type of anatomic alteration leads to aspiration pneumonia?', '2024-04-18 09:50:07', '2024-04-18 09:50:07'),
(1200, 1007, 'What term refers to filling of the alveolar spaces due to pneumonia?', '2024-04-18 09:50:10', '2024-04-18 09:50:10'),
(1201, 1008, 'Define effusion', '2024-04-18 09:50:12', '2024-04-18 09:50:12'),
(1202, 1009, 'What are the clinical manifestations of patients with severe pneumonia?', '2024-04-18 09:50:16', '2024-04-18 09:50:16'),
(1203, 1010, 'What causes “walking pneumonia,” and who typically gets it?', '2024-04-18 09:50:17', '2024-04-18 09:50:17'),
(1204, 1011, 'What viruses can cause pneumonia?', '2024-04-18 09:50:19', '2024-04-18 09:50:19'),
(1205, 1012, 'Should I get a pneumonia vaccine?', '2024-04-18 09:50:20', '2024-04-18 09:50:20'),
(1206, 1013, 'What vaccines are given for pneumonia?', '2024-04-18 09:50:27', '2024-04-18 09:50:27'),
(1207, 1014, 'What are the non-infectious etiologies of pneumonia?', '2024-04-18 09:50:32', '2024-04-18 09:50:32'),
(1208, 1015, 'What is the pathophysiology of pneumonia?', '2024-04-18 09:50:35', '2024-04-18 09:50:35'),
(1209, 1016, 'What is the inflammatory response that occurs with pneumonia?', '2024-04-18 09:50:37', '2024-04-18 09:50:37'),
(1210, 1017, 'What are the mechanical barriers of a bacterial infection?', '2024-04-18 09:50:38', '2024-04-18 09:50:38'),
(1211, 1018, 'Aspiration pneumonia', '2024-04-18 09:50:39', '2024-04-18 09:50:39'),
(1212, 1019, 'What is opportunistic pneumonia?', '2024-04-18 09:50:44', '2024-04-18 09:50:44'),
(1213, 1020, 'What are the sudden symptoms of pneumonia?', '2024-04-18 09:50:50', '2024-04-18 09:50:50'),
(1214, 1021, 'What is consolidation?', '2024-04-18 09:50:58', '2024-04-18 09:50:58'),
(1215, 1022, 'Why is antibiotic therapy beneficial for pneumonia?', '2024-04-18 09:51:10', '2024-04-18 09:51:10'),
(1216, 1023, 'What are the standard practices that patients with pneumonia should learn?', '2024-04-18 09:51:16', '2024-04-18 09:51:16'),
(1217, 1024, 'What is Lobar Atelectasis?', '2024-04-18 09:51:19', '2024-04-18 09:51:19'),
(1218, 1025, 'Causes of Lobar Atelectasis', '2024-04-18 09:51:30', '2024-04-18 09:51:30'),
(1219, 1026, 'What event can trigger the clinical syndrome of pneumonia?', '2024-04-18 09:51:33', '2024-04-18 09:51:33'),
(1220, 1027, 'What are the physical examination findings of pneumonia?', '2024-04-18 09:51:34', '2024-04-18 09:51:34'),
(1221, 1028, 'What chest x-ray finding indicates that pneumonia may be life-threatening and difficult to treat?', '2024-04-18 09:51:37', '2024-04-18 09:51:37');

-- --------------------------------------------------------

--
-- Table structure for table `responses`
--

CREATE TABLE `responses` (
  `id` bigint(20) UNSIGNED NOT NULL,
  `intent_id` bigint(20) UNSIGNED DEFAULT NULL,
  `content` text COLLATE utf8mb4_unicode_ci NOT NULL,
  `created_at` timestamp NULL DEFAULT NULL,
  `updated_at` timestamp NULL DEFAULT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;

--
-- Dumping data for table `responses`
--

INSERT INTO `responses` (`id`, `intent_id`, `content`, `created_at`, `updated_at`) VALUES
(23, 20, 'Weakness or fatigue, Weight loss, No appetite, Chills, Fever, Sweating at night, A bad cough that lasts 3 weeks or longer, Pain in the chest, Coughing up blood or sputum (phlegm from deep inside the lungs)', '2023-12-21 13:32:52', '2024-02-01 03:36:41'),
(26, 23, 'food poisoning', '2024-01-27 13:18:26', '2024-01-27 13:18:26'),
(29, 23, 'Tuberculosis (TB) is a disease caused by bacteria called Mycobacterium tuberculosis*', '2024-01-27 13:18:40', '2024-02-01 02:30:27'),
(32, 14, 'bacterium Mycobacterium tuberculosis', '2024-02-01 15:40:42', '2024-02-01 15:40:42'),
(35, 26, 'Spending a lot of time in close contact with an infected person, especially in enclosed or poorly ventilated spaces.\r\nIndividuals with weakened immune systems, such as those with HIV/AIDS, are more susceptible to TB infection and are at a higher risk of developing active TB disease.\r\nIndividuals with weakened immune systems, such as those with HIV/AIDS, are more susceptible to TB infection and are at a higher risk of developing active TB disease.\r\nSmoking', '2024-02-01 16:24:30', '2024-02-01 16:24:30'),
(38, 29, 'Smoking, Air pollution, Respiratory Infections, Aging, Genetic factors, long-term exposure to pollutants', '2024-02-01 16:45:12', '2024-02-01 16:45:12'),
(41, 35, 'Regular medical check-ups,\r\nTaking periodic X-rays,\r\nPreventing transmission throu isolation and practicing respiratory hygiene,\r\nTesting and screening close contacts', '2024-02-01 16:55:38', '2024-02-01 16:55:38'),
(44, 77, 'SARS-CoV-2', '2024-02-02 14:38:28', '2024-02-02 14:40:57'),
(47, 68, 'COVID-19 (coronavirus disease 2019) is a disease caused by a virus named SARS-CoV-2', '2024-02-02 14:40:11', '2024-02-02 14:40:11'),
(50, 74, 'It can also spread when a person touches a contaminated surface, e.g. desk, chair, door handle, phones etc. then touches their eyes, nose and/or mouth.', '2024-02-02 15:11:29', '2024-02-02 15:13:45'),
(53, 74, 'when an infected person\'s sneeze or cough droplets come into contact with another person\'s eyes, nose and/or mouth.', '2024-02-02 15:13:08', '2024-02-02 15:13:08'),
(56, 71, 'Fever or chills.\r\nCough.\r\nShortness of breath or difficulty breathing.\r\nFatigue.\r\nMuscle or body aches.\r\nHeadache.', '2024-02-02 15:24:56', '2024-02-02 15:24:56'),
(59, 80, 'Wash your hands frequently with soap and water, or use an alcohol-based hand rub.\r\nMaintain reasonable distance between yourself and someone who is coughing, sneezing (at least 1 meter apart).\r\n\r\nAvoid touching your eyes, nose and mouth. Hands touch many surfaces, which can be contaminated with the virus, and you can transfer the virus from the surface to yourself.\r\n\r\nClean and disinfect frequently touched surfaces such as doorknobs/handles, car doors, elevator buttons etc. daily with regular household disinfectant or soap and water.', '2024-02-02 17:52:25', '2024-02-02 17:52:25'),
(62, 80, 'People with flu-like symptoms should use face masks to cover the nose and mouth and stay home in a well-ventilated room.', '2024-02-02 17:52:46', '2024-02-02 17:52:46'),
(68, 59, 'Bronchitis is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs.', '2024-02-02 18:07:57', '2024-02-02 18:07:57'),
(71, 65, 'Cough\r\nProduction of mucus (sputum), which can be clear, white, yellowish-gray or green in color ', '2024-02-02 18:18:48', '2024-02-02 18:18:48'),
(74, 62, 'Cigarette smoke. People who smoke or who live with a smoker are at higher risk of both acute bronchitis and chronic bronchitis.\r\nLow resistance. This may result from another acute illness, such as a cold, or from a chronic condition that compromises your immune system. Older adults, infants and young children have greater vulnerability to infection.\r\nExposure to irritants on the job. Your risk of developing bronchitis is greater if you work around certain lung irritants, such as grains or textiles, or are exposed to chemical fumes.\r\nGastric reflux. Repeated bouts of severe heartburn can irritate your throat and make you more prone to developing bronchitis.', '2024-02-02 18:27:51', '2024-02-02 18:27:51'),
(77, 50, 'Asthma is a chronic lung disease that makes it harder to move air in and out of your lungs.', '2024-02-02 18:36:00', '2024-02-02 18:36:00'),
(80, 53, 'People with asthma experience a tight feeling in the chest, shortness of breath, coughing or wheezing at some point in their life.', '2024-02-02 18:50:04', '2024-02-02 18:50:04'),
(83, 53, 'Wheezing when exhaling, which is a common sign of asthma in children.\r\nTrouble sleeping caused by shortness of breath, coughing or wheezing.', '2024-02-02 18:52:20', '2024-02-02 18:52:20'),
(86, 50, 'Asthma is a chronic respiratory disease that causes inflammation and narrowing of the airways, making it difficult to breathe.', '2024-02-02 19:00:04', '2024-02-02 19:00:04'),
(89, 83, 'Allergic asthma.\r\nAspirin-induced asthma.\r\nCough-variant asthma.\r\nExercise-induced asthma.\r\nNighttime asthma.\r\nSteroid-resistant asthma.\r\nOccupational asthma.', '2024-02-02 19:01:01', '2024-02-02 19:01:01'),
(92, 56, 'Family history\r\nIf you have a parent with asthma, you are three to six times more likely to develop asthma than someone who does not have a parent with asthma.\r\nAllergies\r\nSome people are more likely to develop allergies than others, especially if one of their parents has allergies. Certain allergic conditions, such as atopic dermatitis (eczema) or allergic rhinitis (hay fever), are linked to people who get asthma.\r\nViral respiratory infections\r\nRespiratory problems during infancy and childhood can cause wheezing. Some children who experience viral respiratory infections go on to develop chronic asthma.\r\nOccupational exposures\r\nIf you have asthma, exposures to certain elements in the workplace can cause asthma symptoms. And, for some people, exposure to certain dusts (industrial or wood dusts), chemical fumes and vapors, and molds can cause asthma to develop for the very first time.\r\nSmoking\r\nCigarette smoke irritates the airways. Smokers have a high risk of asthma. Those whose mothers smoked during pregnancy or who were exposed to secondhand smoke are also more likely to have asthma. Learn more about the health effects of smoking with asthma\r\nAir Pollution\r\nExposure to the main component of smog (ozone) raises the risk for asthma. Those who grew up or live in urban areas have a higher risk for asthma.\r\nObesity\r\nChildren and adults who are overweight or obese are at a greater risk of asthma. Although the reasons are unclear, some experts point to low-grade inflammation in the body that occurs with extra weight. Obese patients often use more medications, suffer worse symptoms and are less able to control their asthma than patients in a healthy weight range.', '2024-02-02 19:17:49', '2024-02-02 19:17:49'),
(95, 86, 'Seek medical help', '2024-02-06 00:54:46', '2024-02-06 00:54:46'),
(98, 89, 'A virus', '2024-02-06 02:05:32', '2024-02-06 02:05:32'),
(101, 44, 'Sudden chills then high fever.\r\nRapid shallow breathing with little grunts or sometimes wheezing.\r\nFever (sometimes newborns and old or very weak persons have severe pneumonia with little or no fever).\r\nCough( often yellow, greenish, rust-colord or slightly bloody mucus).\r\nChest pain.\r\nCold sores often appear on the face or lips\r\nThe person looks very ill.', '2024-02-06 02:10:56', '2024-02-06 02:10:56'),
(104, 38, 'Pneumonia is an infection that affects the lungs, causing the air sacs, or alveoli, of the lungs to fill up with fluid or pus.', '2024-02-06 02:15:05', '2024-02-06 02:15:05'),
(107, 38, 'An acute infection of the lungs that causes the air sacs or alveoli of the lungs to fill up with fluid or pus.', '2024-02-06 02:16:48', '2024-02-06 02:16:48'),
(110, 41, 'Bacteria, viruses, or fungi may cause pneumonia.', '2024-02-06 02:23:56', '2024-02-06 02:23:56'),
(113, 32, 'It\'s typically caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke.', '2024-02-06 02:30:01', '2024-02-06 02:30:01'),
(116, 47, 'Sings and symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing.', '2024-02-06 02:32:51', '2024-02-06 02:32:51'),
(119, 92, 'fatality rates skyrocket for the elderly and those with compromised immune systems', '2024-02-07 23:31:12', '2024-02-07 23:31:12'),
(122, 95, 'The coronavirus family was discovered first in 1960s but we don', '2024-02-07 23:33:52', '2024-02-07 23:33:52'),
(125, 98, 'o prevent infection from spreading, one should wash hands regularly, cover mouth and nose while coughing and sneezing and eat properly cook meat and eggs.', '2024-02-07 23:40:32', '2024-02-07 23:40:32'),
(128, 101, 'Those who have been recently infected with TB germs\r\n2. Those with medical conditions that weaken the immune system including:\r\n', '2024-02-08 18:19:10', '2024-02-08 18:19:10'),
(131, 107, 'In most people who breathe in TB germs and become infected, the body is able to \r\nfight the TB germs to stop them from growing. The TB germs become inactive, but \r\nthey remain alive in the body and can become active later. This is called latent TB \r\ninfection, or LTBI for short', '2024-02-08 18:28:49', '2024-02-08 18:28:49'),
(134, 101, 'Anyone can get TB. Some people have a higher risk of getting infected with TB:\r\n', '2024-02-08 18:32:55', '2024-02-08 18:32:55'),
(137, 101, 'Anyone can get TB. Some people have a higher risk of getting infected with TB:\r\n', '2024-02-08 18:32:55', '2024-02-08 18:32:55'),
(140, 101, 'Anyone can get TB. Some people have a higher risk of getting infected with TB:\r\n', '2024-02-08 18:32:57', '2024-02-08 18:32:57'),
(143, 104, 'LTBI has a small amount of TB germs in his/\r\nher body that are alive but inactive while TB has a large amount of active TB germs \r\nin his/her bod', '2024-02-08 23:01:42', '2024-02-08 23:01:42'),
(146, 104, 'Latent TB infection has  no symptoms while TB has symptoms that may include\r\n', '2024-02-08 23:02:56', '2024-02-08 23:02:56'),
(149, 104, 'LTBI patient cannot spread TB germs to others while a TB patient may spread TB germs to others', '2024-02-08 23:04:15', '2024-02-08 23:04:15'),
(152, 104, 'A person does not feel sick while person with TB may feel sick and may have symptoms \r\nsuch as a cough, fever, and/or weight \r\nloss', '2024-02-08 23:05:52', '2024-02-08 23:05:52'),
(155, 104, 'An LTBI person usually has a positive TB skin test or TB blood test indicating TB infection, while Tb patient usually has a positive TB skin test or TB \r\nblood test indicating TB infection', '2024-02-08 23:09:58', '2024-02-08 23:09:58'),
(158, 104, 'For LTBI, one as a normal chest x-ray and a negative sputum smear\r\nFor TB, one may have an abnormal chest x-ray, or positive sputum smear or culture', '2024-02-08 23:11:48', '2024-02-08 23:11:48'),
(161, 110, 'You should get tested for TB if:\r\n', '2024-02-08 23:43:43', '2024-02-08 23:43:43'),
(164, 113, 'There are two types of tests for TB infection: the TB blood test and the TB skin test.', '2024-02-08 23:48:12', '2024-02-08 23:48:12'),
(167, 116, 'Positive TB blood test: This means that you have been infected with TB \r\ngerms. Additional tests are necessary to determine whether you have \r\nlatent TB infect (LTBI) or TB disease. \r\nNegative TB blood test: This means that your blood did not react to the \r\ntest and that you likely do not have TB infection.', '2024-02-09 00:14:16', '2024-02-09 00:14:16'),
(170, 119, 'Positive skin test: This means the person', '2024-02-09 00:25:25', '2024-02-09 00:25:25'),
(173, 122, 'If you have a positive reaction to the TB blood test or TB skin test, your doctor or \r\nnurse will do other tests to see if you have TB disease. These tests usually include a \r\nchest x-ray. They may also include a test of the sputum you cough up. Because TB \r\ngerms may be found somewhere other than your lungs, your doctor or nurse may \r\ncheck your urine, take tissue samples, or do other tests. Without treatment, latent TB \r\ninfection (LTBI) can progress to TB disease.', '2024-02-09 00:29:54', '2024-02-09 00:29:54'),
(176, 125, 'Most people can take their latent TB infection (LTBI) medicines without any problems; \r\nhowever, sometimes there are side effects. Some side effects are minor problems. For \r\nexample, the rifampin or rifapentine medicine may cause orange discoloration of body \r\nfluids such as urine (pee), saliva, tears, or sweat, and breast milk. Orange discoloration of body fluids is expected and harmless. This is normal and the color may fade over \r\ntime. The doctor or nurse may advise you not to wear soft contact lenses because they may get permanently stained. If you have any of these side effects, you can continue taking your medicine.\r\nIf you have a serious side effect, call your doctor or nurse immediately. You may be \r\ntold to stop taking your LTBI medicines or to return to the clinic for tests. Serious side \r\neffects include:\r\n Dizziness or lightheadedness\r\nLoss of appetite\r\nFlu-like symptoms\r\nSevere diarrhea or light-colored stools\r\nShortness of breath\r\nFeelings of sadness or depression\r\nFever\r\nUnexplained weight loss\r\nBrown urine (color of coffee or cola)\r\nYellowish skin or eyes\r\nRash\r\nPersistent tingling or prickling \r\nsensation of hands and feet \r\nPersistent tiredness or weakness \r\nlasting 3 or more days\r\nStomach pain \r\nEasy bruising or bleeding\r\nJoint pain\r\nNausea\r\nVomiting', '2024-02-09 00:35:35', '2024-02-09 00:35:35'),
(179, 128, 'The most common medicines used to treat TB \r\ndisease are\r\n', '2024-02-09 00:42:40', '2024-02-09 00:42:52'),
(182, 131, 'There is good news for people with TB disease! It can almost always be treated and cured with medicine. But the medicine must be taken as directed by your doctor or nurse.', '2024-02-09 00:47:55', '2024-02-09 00:47:55'),
(185, 134, 'If you are taking medicines for TB disease, you should take them as directed by your \r\ndoctor or nurse. The TB medicines may cause side effects. Some side effects are minor \r\nproblems. Others are more serious. If you have a serious side effect, call your doctor \r\nor nurse immediately. You may be told to stop taking your TB medicines or to return \r\nto the clinic for tests. Serious side effects include:\r\n', '2024-02-09 00:52:13', '2024-02-09 00:52:13'),
(188, 137, 'TB germs die very slowly. For the treatment of latent TB \r\ninfection (LTBI), it takes at least 3 months (and possibly \r\nlonger depending on which medications you are on) \r\nto kill the TB germs. \r\nFor TB disease, it usually takes 6 months or longer for the medicines to kill all the TB germs. You will probably start feeling well after only a few weeks of treatment, but beware! The TB germs are still alive in your body, even if you feel better. You must \r\ncontinue to take your medicines until all the TB germs are dead, even though you may feel better and have no more symptoms of TB disease.\r\nIt can be very dangerous to stop taking your medicines or not to take all your \r\nmedicines regularly. The TB germs will grow again, and you will remain sick for a \r\nlonger time. The TB germs may also become resistant to the medicines you are taking. \r\nYou may need new different medicines to kill the TB germs if the old medicines no \r\nlonger work. These new medicines must be taken for a longer time and usually have \r\nmore serious side effects.\r\nIf you become infectious again, you could give TB germs to your family, friends, or \r\nanyone else who spends time with you. It is very important to take all your medicines \r\nas directed by your doctor or nurse.', '2024-02-09 00:55:04', '2024-02-09 00:55:04'),
(191, 140, 'Multidrug-resistant TB (MDR TB) is caused by TB germs that are resistant to at least \r\ntwo of the most important TB medicines: isoniazid and rifampin.', '2024-02-09 01:02:03', '2024-02-09 01:02:03'),
(194, 143, 'XDR \r\nTB is a rare type of TB that is resistant to nearly all medicines used to treat TB disease.', '2024-02-09 01:08:55', '2024-02-09 01:08:55'),
(197, 146, 'The only way to get well is to take your TB medicines exactly as directed by your \r\ndoctor or nurse. This may not be easy! If you have LTBI, you will be taking your LTBI \r\nmedicines for 3 months or longer. If you have TB disease, you will generally be taking \r\nmedicine for 6 months or longer. \r\nGetting into a routine can help you remember to take your TB medicine as directed. \r\nHere are some ways to help you remember to take your medicines whether you are on \r\nLTBI medicine or TB disease medicine:\r\n', '2024-02-09 01:19:44', '2024-02-09 01:19:44'),
(200, 149, 'Take your medicines as directed. This is very \r\nimportant! \r\nAlways cover your mouth with a tissue when you cough, sneeze, or laugh. \r\nPut the tissue in a closed bag and throw it away. \r\nSeparate yourself from others and avoid close contact with anyone. Sleep in a \r\nbedroom away from other family members. Avoid having visitors in the home.\r\nDo not go to work or school. \r\nAir out your room often to the outside of the building (if it is not too cold \r\noutside). TB spreads in small closed spaces where air \r\ndoesn', '2024-02-09 01:23:14', '2024-02-09 01:23:14'),
(203, 152, 'The 4 stages of COPD are:\r\nMild\r\nModerate\r\nSevere\r\nVery Severe', '2024-02-09 01:34:42', '2024-02-09 01:34:42'),
(206, 154, 'The life expectancy of COPD patients can vary greatly and depends on factors such as the severity of airflow obstruction, a patient', '2024-02-09 01:42:23', '2024-02-09 01:42:23'),
(209, 155, 'A flare-up (or exacerbation) of COPD symptoms can last 7 to 10 days, but may go on for a longer period of time. Symptoms include having a hard time catching your breath or getting enough air, increased mucus, coughing and wheezing. If you experience any of these symptoms ', '2024-02-09 01:45:38', '2024-02-09 01:45:38'),
(212, 158, 'COPD is most commonly linked to smoking, but even non-smokers can get COPD. Risk factors for developing COPD include:\r\n\r\nSmoking cigarettes\r\nExposure to second-hand smoke or other lung irritants, such as smoke from a fire or fireplace\r\nLong-term exposure to chemical fumes and agents\r\nAsthma and chronic bronchitis\r\nRecurrent respiratory infections\r\nGenetic factors\r\nAge and gender', '2024-02-09 01:49:38', '2024-02-09 01:49:38'),
(215, 161, 'Chronic obstructive pulmonary disease, or COPD, is a term used for a group of lung conditions that affect your breathing. Emphysema is a type of COPD that causes damage to the air sacs in your lungs. Emphysema is caused by exposure to irritants such as tobacco smoke, air pollution or chemical fumes.', '2024-02-09 01:53:36', '2024-02-09 01:53:36'),
(218, 164, 'COPD and asthma have similar symptoms, but they', '2024-02-09 01:57:34', '2024-02-09 01:57:34'),
(221, 167, 'There is currently no cure for COPD, since the damage it causes to the lungs is not reversible. There are things a person can do to prevent COPD from becoming worse, and there are an increasing number of therapies that can help ease the symptoms of the disease.', '2024-02-09 02:01:14', '2024-02-09 02:01:14'),
(224, 170, 'There are 2 goals when treating COPD: improve the symptoms of the disease and prevent a sudden worsening of the disease (called acute exacerbation).\r\n\r\nQuitting smoking is the best way to prevent COPD from getting worse.\r\n\r\nOther treatments may include:\r\n\r\nPulmonary rehabilitation, which includes an exercise program, nutritional counseling, how to manage COPD and more.\r\nMedications, such as bronchodilator inhalers to open your airways, inhaled corticosteroids to reduce inflammation in the airways and prevent flare-ups, and oral steroids for people with sudden worsening of symptoms despite conventional therapy.\r\nOxygen therapy to help relieve shortness of breath.\r\nSurgery, such as bronchoscopic lung volume reduction (BLVR), lung volume reduction surgery (LVRS), or lung transplant for patients with very severe COPD.', '2024-02-09 02:04:39', '2024-02-09 02:04:39'),
(227, 173, 'Lung volume reduction surgery is a surgical procedure that removes diseased lung tissue from patients with advanced COPD. This surgery may improve symptoms and survival in carefully selected patients who have low exercise capacity and emphysema that is predominantly in the upper lobe of the lung.', '2024-02-09 02:07:20', '2024-02-09 02:07:20'),
(230, 176, 'Oxygen therapy is prescribed by your doctor to help relieve shortness of breath. It can be given for brief periods of time, or as a long-term therapy. Oxygen therapy is relatively safe, but you may experience some side effects, including:\r\n\r\nDry or cracked skin in and around your nose\r\nFeeling sleepy or tired\r\nHaving headaches in the morning\r\nIf you', '2024-02-09 02:12:23', '2024-02-09 02:12:23'),
(233, 179, 'For those with COPD, breathing exercises can help strengthen your diaphragm, allowing you to breathe easier. Try these breathing exercises at home:\r\n\r\nPURSED LIP BREATHING\r\n\r\nFirst, breathe in through your nose for a count of 4 breaths. Then exhale through your mouth for a count of 8 breaths with pursed lips, taking twice as long as you did to breathe in. Do this 3 to 5 times.\r\n\r\nBELLY BREATHING\r\n\r\nLie down on your back in a comfortable position. Place one hand gently on your stomach. Breathe in slowly through your nose into your belly, counting to 4. Notice your hand rising as your belly fills with air. Breathe out through your mouth to a count of 8.\r\n\r\nYou may work with a respiratory therapist to learn other breathing techniques. Respiratory therapists are certified medical professionals who specialize in helping people with breathing problems.', '2024-02-09 02:14:18', '2024-02-09 02:14:18'),
(236, 182, 'Your doctor may treat your COPD with medication, lung therapies such as oxygen, or surgery. But part of your treatment plan also includes lifestyle modifications you can do at home. These include:\r\n\r\nQuit smoking and avoid lung irritants\r\nGet your vaccinations, including influenza and pneumonia\r\nDo your breathing exercises\r\nDrink water and use a humidifier to decrease cough\r\nEat a healthy diet, full of fruits, vegetables and low-fat protein\r\nExercise daily, under the guidance of your doctor', '2024-02-09 02:16:35', '2024-02-09 02:16:35'),
(239, 185, 'COPD is a preventable disease in most patients. The best way to prevent COPD is to quit smoking or never smoke.\r\nCOPD is a preventable disease in most patients. The best way to prevent COPD is to quit smoking or never smoke.', '2024-02-09 02:20:24', '2024-02-09 02:20:24'),
(242, 188, 'As the cause of acute bronchitis is bacterial, often brought on by colds and flu, it can be contagious. Depending on the type of virus you have, you are likely to only be contagious for a period of a few days to a week. A good rule of thumb is that you are likely contagious while you are experiencing other cold and flu symptoms.\r\n\r\nChronic bronchitis tends to develop from irritants such as dust, chemicals or smoke which are not normally contagious. As a result, chronic bronchitis isn', '2024-02-09 02:46:54', '2024-02-09 02:46:54'),
(244, 191, 'Acute bronchitis usually takes between 1 to 3 weeks to clear completely. Chronic bronchitis can persist for a few months or longer, and tends to recur year after year.', '2024-02-09 02:50:11', '2024-02-09 02:50:11'),
(245, 194, 'Acute bronchitis and Chronic bronchitis', '2024-02-09 02:53:43', '2024-02-09 02:53:43'),
(248, 196, 'Your chances of getting bronchitis can be lowered or prevented in some of the following instances:\r\n\r\nIf you take measures to avoid inhaling cigarette smoke, where possible.\r\nGet a flu vaccine before the winter season when colds and flu are most common.\r\nGet a pneumonia vaccine, especially if you are 60 years of age or older.\r\nMaintain good hygiene and wash your hands regularly.\r\nWear a mask when around fumes or chemicals which can irritate the lungs. If possible, ensure that the area where these are present is well ventilated. If ventilation is poor, a respirator, which fits over your nose and mouth can help to clean the air before it reaches your lungs.\r\nIn the home, refrain from using spray chemicals such as paint, hair spray, household cleaners and bug sprays. If you have to use any spray chemicals, ensure that windows are open or that you use the spray in well-ventilated areas (an open space). Wearing a mask while spraying will also help to protect your lungs.\r\nIf dust, pollen or other allergy triggers bring on bronchitis symptoms, you can wear a mask, as well as consult an allergist. An allergist will assist with shots or medications which can prevent allergic reactions to the specific triggers you are most affected by.', '2024-02-09 02:56:32', '2024-02-09 02:56:32'),
(251, 197, 'It is necessary to seek medical assistance if:\r\n\r\nYou bring up blood or mucus that thickens or darkens when you cough.\r\nYou notice a foul-tasting fluid in your mouth.\r\nYour cough keeps you awake at night.\r\nYou experience a persistent cough for 1 to 3 weeks.\r\nYour cough has a ', '2024-02-09 02:59:31', '2024-02-09 02:59:31'),
(254, 200, 'Drink at least 8 ', '2024-02-09 03:03:07', '2024-02-09 03:03:07'),
(257, 203, 'Most cases occur when small droplets that \r\ncontain a bacteria, virus, or fungus are \r\nbreathed in. Droplets can get into the air \r\nwhen someone with these germs coughs or \r\nsneezes. Pneumonia bacteria can also be \r\nfound in healthy throats. When a person', '2024-02-09 03:11:40', '2024-02-09 03:11:40'),
(260, 206, 'Antibiotics are used to treat pneumonia. The \r\nsooner you receive them, the better. Most \r\noften, you get the first dose through an IV. \r\nYou may also take them in pill form. You \r\nmay need extra oxygen until you heal.\r\nThere are other treatments that may help. \r\nThese include:\r\n', '2024-02-09 03:15:16', '2024-02-09 03:15:16'),
(263, 209, 'Be sure to cover your nose and mouth with a \r\ntissue when you cough or sneeze. Discard \r\nthe tissue and wash your hands. These \r\nsimple steps are the best defense against the \r\nspread of infection.', '2024-02-09 03:17:12', '2024-02-09 03:17:12'),
(266, 211, 'Certain factors may put you at a higher risk \r\nfor pneumonia. You are at risk if you:\r\n', '2024-02-09 03:20:21', '2024-02-09 03:20:21'),
(269, 212, 'You need to call your local doctor if your \r\nsymptoms return. Call if you have:\r\n', '2024-02-09 03:22:48', '2024-02-09 03:22:48'),
(272, 215, 'You need a chest x-ray to confirm you have \r\npneumonia. You can expect lab tests such as \r\nblood cultures. You will also be asked to \r\ncough deeply and spit any mucous into a \r\nsterile cup. These tests help the doctor to \r\nchoose the best treatment options for you', '2024-02-09 03:26:25', '2024-02-09 03:26:25'),
(275, 218, 'Complete the full \r\ncourse of antibiotics.\r\nGet a flu shot yearly.\r\nGet your pneumonia \r\nvaccine.\r\nMaintain good health \r\nhabits', '2024-02-09 11:52:16', '2024-02-09 11:52:16'),
(278, 221, 'If you are hospitalized, you should see your \r\ndoctor 1-2 weeks after discharge. Your \r\ndoctor may do a chest x-ray in 4-6 weeks to \r\nensure that the pneumonia has resolved. If \r\nyou smoke, your doctor will discuss ways to \r\nhelp you quit', '2024-02-09 12:02:10', '2024-02-09 12:02:10'),
(281, 224, 'Sulfites are a type of preservative that may worsen bronchitis. Sulfites are found in wine, dried fruits, pickled food, maraschino cherries, shrimp, and bottled lemon and lime juice. Eating large meals or foods that cause gas puts pressure on your diaphragm, especially if you have acid reflux.', '2024-02-09 13:35:40', '2024-02-09 13:35:40'),
(284, 227, 'DO quit smoking if you smoke.\r\nDO avoid smoky environments.\r\nDO drink plenty of noncaffeinated fluids, such as water and fruit juices.\r\nDO get plenty of rest.\r\nDO use a room humidifier or damp towels for increased humidity in your room.\r\nDO wash your hands often to prevent spread of infection.\r\nDO call your health care provider if you become short of breath or cough up blood.\r\nDO call your health care provider if your cough lasts longer than 3 weeks.\r\nDON', '2024-02-09 13:43:16', '2024-02-09 13:43:16'),
(287, 233, 'Chronic bronchitis, characterized by repeated flare-ups of symptoms that don', '2024-02-09 14:12:33', '2024-02-09 14:12:33'),
(290, 230, 'The germs and viruses (such as colds and the flu) that cause acute bronchitis are highly contagious.', '2024-02-09 14:13:33', '2024-02-09 14:13:57'),
(293, 236, 'Bronchitis can spread through droplets of saliva or mucus when someone with acute bronchitis coughs, sneezes, or talks. It can also spread by touching contaminated surfaces and then touching the eyes, nose, or mouth.', '2024-02-09 14:24:21', '2024-02-09 14:24:21'),
(296, 239, 'The contagious period for bronchitis can vary, but for colds, it is usually the first two to three days of the infection, and for the flu, it is the first three to four days after the onset of illness.', '2024-02-09 14:30:31', '2024-02-09 14:30:31'),
(299, 242, 'The airway constriction and inflammation caused by asthma can result in common symptoms such as wheezing, coughing, chest tightness, or shortness of breath. When these symptoms happen, their severity differs from person to person. They may get better or worse with time. Through daily monitoring of symptoms and medication use, you and your doctor together can create an Asthma Action Plan to help you control them.', '2024-02-09 14:35:17', '2024-02-09 14:35:17'),
(302, 245, 'No. Asthma is not contagious.', '2024-02-09 14:41:10', '2024-02-09 14:41:10'),
(305, 248, 'No, asthma cannot be cured, but it can be managed. Asthma is a chronic disease in the airways of your lungs. You may need to monitor your asthma symptoms every day because the disease is always with you.', '2024-02-09 14:47:19', '2024-02-09 14:47:19'),
(308, 251, 'Most people with asthma can participate in all types of physical activity. Physical activity can provide many benefits for people living with asthma. Talk to your doctor about how to manage your asthma while playing sports. If you start to have pain or a tight feeling in your chest, have a cough, or become short of breath during exercise, stop the activity right away and follow your doctor', '2024-02-09 14:52:50', '2024-02-09 14:52:50'),
(311, 254, 'It is normal for mothers-to-be to feel uneasy taking medications while pregnant. However, if a pregnant woman has asthma, it is especially important that their asthma is well controlled not only for their own health but also for the health and development of their unborn child. If you are pregnant or thinking of becoming pregnant, discuss your asthma with your doctor so your airways can be stabilized and appropriate medications prescribed. The risks of uncontrolled asthma in pregnancy are greater than the risks of necessary prescribed asthma drugs.', '2024-02-09 15:04:42', '2024-02-09 15:04:42'),
(314, 257, 'An asthma attack is a sudden worsening of asthma symptoms caused by the tightening of muscles around your airways (bronchospasm). If you are experiencing an asthma attack, follow the \"Red Zone\" or emergency instructions in your asthma action plan immediately. If you have trouble breathing, walking or talking, or you have blue lips or fingernails, call for help.', '2024-02-09 15:08:24', '2024-02-09 15:08:24'),
(317, 260, 'You shouldn\'t avoid exercise because of exercise-induced asthma. Inhaled medications taken prior to exercise can usually help control and prevent exercise-induced asthma symptoms. The preferred medications are short-acting beta 2-agonists such as albuterol.\r\n\r\nIn addition to taking asthma medicine, warming up prior to exercising may help prevent an attack. For those with known allergies, outside exercise should be limited during high pollen days. Outside exercise should also be limited when temperatures are very low or air pollution levels are high. The presence of viral infections, such as colds, can also increase symptoms, so it\'s best to restrict your exercise when you\'re sick.', '2024-02-09 15:51:35', '2024-02-09 15:51:35'),
(320, 263, 'Generally, if asthma symptoms are worse on days that you work, and improve when you are at home for any length of time (weekends, vacations) and then reoccur when you return to work, occupational asthma should be considered. This may be allergy related or an irritant reaction from exposure to triggers in the workplace. Identification and avoidance of triggers and starting an appropriate medical treatment plan will help to stabilize your airways and decrease symptoms. Ask your doctor to refer you to a specialist, preferably an allergist, to begin the correct treatment program.', '2024-02-09 15:56:12', '2024-02-09 15:56:12'),
(323, 266, 'Heartburn is often a sign of a disease called GERD (gastroesophageal reflux disease). Although studies have shown a relationship between asthma and GERD, the exact relationship is uncertain. GERD may worsen asthma symptoms and make asthma harder to treat. If you have coughing that is not completely resolved by taking your asthma medications, then inform your doctor. GERD can be one of the reasons this is happening.', '2024-02-09 16:02:09', '2024-02-09 16:02:09'),
(326, 269, 'Side effects of bronchodilators are:\r\n\r\nRapid heartbeat\r\nHeadache\r\nNervousness\r\nTremor\r\nThese bronchodilator side effects tend to occur more with oral forms (pills and liquids that you swallow) than with inhaled forms. However, sometimes even with inhaled forms these can occur. They generally go away as your body adjusts to the medication. If they are bothersome or continue to occur, you should contact your doctor.', '2024-02-09 16:07:31', '2024-02-09 16:07:31'),
(329, 272, 'If you suspect that you may have allergies as a trigger for your asthma, ask your doctor to refer you to a board certified allergist who can perform skin testing or any other procedures needed to properly identify your allergies.', '2024-02-09 16:32:48', '2024-02-09 16:32:48'),
(332, 275, 'One possibility is that you are sensitive to aspirin and non-steroidal anti-inflammatory medications (NSAIDs, which include Advil, Motrin, Aleve or Naprosyn). This is a serious asthma trigger and you should completely avoid all of these drugs. Your doctor should also see you so they can evaluate this problem. Acetaminophen (Tylenol) is often safe to use for treatment of pain and/or fever.', '2024-02-09 16:37:49', '2024-02-09 16:37:49'),
(335, 278, 'Basically, the breathing tubes constrict ', '2024-02-09 20:58:36', '2024-02-09 20:58:36'),
(347, 281, 'Asthma affects different children in different ways. Some are only affected after exercising or by specific irritants such as perfume, whereas others are affected by multiple allergens and irritants. Some kids have mild, manageable symptoms, and others require more serious attention.Typically, a child', '2024-02-09 21:07:02', '2024-02-09 21:07:02'),
(359, 284, 'Some kids experience asthma symptoms after physical activity, so they', '2024-02-09 22:55:34', '2024-02-09 22:55:34'),
(362, 287, 'Honestly, we don', '2024-02-09 23:00:01', '2024-02-09 23:00:01'),
(365, 284, 'Exercise-induced asthma is when the airways narrow or squeeze during hard physical activity. It causes shortness of breath, wheezing, coughing, and other symptoms during or after exercise.', '2024-02-09 23:23:06', '2024-02-09 23:23:06'),
(368, 290, 'Metered dose inhalers (MDI) are portable, handheld devices that are like mini-aerosol cans. Sticking with the straw analogy, they help to ', '2024-02-09 23:38:49', '2024-02-09 23:38:49'),
(374, 293, 'To measure lung function and find out whether your child', '2024-02-09 23:47:13', '2024-02-09 23:47:13'),
(377, 296, 'No ', '2024-02-09 23:54:16', '2024-02-09 23:55:01'),
(380, 299, 'To use a peak flow meter, your child will blow into it (as if blowing up a balloon). To indicate how much air was exhaled, a marker will slide up a scale on the meter as your child blows out. The ', '2024-02-10 00:17:53', '2024-02-10 00:17:53'),
(383, 305, 'Using a peak flow meter can give you and your doctor important information about:\r\n\r\nthe severity of your child', '2024-02-10 00:21:30', '2024-02-10 00:21:30'),
(386, 302, 'An ', '2024-02-10 00:25:08', '2024-02-10 00:25:08'),
(392, 308, 'Fruits and Veggies\r\nThere\'s no specific asthma diet that can get rid of your breathing troubles. But certain foods may have benefits. Fruits and veggies are a good place to start. They\'re full of chemicals called antioxidants like beta carotene and vitamins E and C. These help stop particles called \"free radicals\" that damage cells and could inflame and irritate your lungs.', '2024-02-10 00:35:15', '2024-02-10 00:37:22'),
(395, 308, 'Vitamin D\r\nYou get most of it from sunshine, but it\'s also in some foods. The top choice is fatty fish like salmon and swordfish, followed by milk, eggs, and orange juice, which are often \"fortified\" with vitamin D. The nutrient strengthens the response of the immune system -- your body\'s defense against germs -- and could lessen swelling in your airways. Having low vitamin D levels can lead to more asthma attacks.', '2024-02-10 00:35:36', '2024-02-10 00:37:12'),
(398, 308, 'Nuts and Seeds\r\nThey\'ve got lots of good things in them, but one in particular that might be good for asthma is vitamin E. Almonds, hazelnuts, and raw seeds are good sources, as well as cruciferous vegetables like broccoli and kale. Vitamin E has tocopherol, a chemical that could help cut how much you cough and wheeze from your asthma.', '2024-02-10 00:35:59', '2024-02-10 00:36:58'),
(401, 308, 'Mediterranean Diet\r\nIt\'s made up of lots of fruits, vegetables, whole grains, beans, and nuts. You eat fish and chicken at least twice a week, and limit your red meat. Instead of butter, you cook with olive or canola oil, and you flavor with herbs instead of salt. There\'s even a bit of optional red wine for adults. Some research suggests that people who eat this way may have fewer asthma attacks and are less likely to get the condition in the first place.', '2024-02-10 00:36:35', '2024-02-10 00:36:48'),
(404, 308, 'Fish\r\nIt\'s all about the omega-3 fatty acids, especially in fatty fish like salmon, herring, tuna, and sardines. They help lessen the amount of IgE your body makes. That\'s an antibody that causes breathing problems in some people with asthma. But the high doses of oral steroids that some people need to use to treat very serious asthma can block much of this helpful effect.', '2024-02-10 00:38:09', '2024-02-10 00:38:09'),
(407, 311, 'Coffee\r\nSalicylates are chemicals that occur naturally in coffee, tea, herbs, spices, and even in anti-inflammatory pills, like aspirin. Though most people don\'t react to them, they could make it harder to breathe, especially if you already have asthma. You may be able to improve these symptoms if you cut as many as you can from your diet.', '2024-02-10 00:51:04', '2024-02-10 00:51:04'),
(410, 311, 'Beans\r\nIt\'s all about the gas they give some people. It can bloat your belly and make it harder to breathe. It may even trigger an asthma attack. Beans are the most famous candidate. Soak them for a few hours and change the water a couple or so times to lessen this effect. Other gassy culprits are garlic, onions, fried foods, and carbonated drinks.', '2024-02-10 00:51:20', '2024-02-10 00:51:30'),
(413, 311, 'Dried Fruit\r\nThere are some foods you may want to avoid if you have asthma, and dried fruits are among them. Though fresh fruit, especially oranges and apples, can help control your asthma, the sulfites that help preserve dried fruit could make the condition worse for some people. Alcohol (especially red wine), shrimp, pickled vegetables, maraschino cherries, and bottled lemon juice also often have sulfites.', '2024-02-10 00:52:15', '2024-02-10 00:52:15'),
(416, 311, 'Liquid Nitrogen\r\nSome people call it \"nitro puff,\" but there are other names. You might notice a stream of smoky coldness that spirals from a fancy cocktail, a new frozen dessert at the mall, or other foods. It may look like fun, but it\'s best to avoid it. It could cause breathing problems, especially if you have asthma, as well as serious injury to skin and even internal organs.', '2024-02-10 00:53:21', '2024-02-10 00:53:21'),
(419, 314, 'Yes, even though COVID-19 vaccines have been developed as rapidly as possible, they must go through rigorous testing in clinical trials to prove that they meet internationally agreed benchmarks for safety and effectiveness. Only if they meet these standards can a vaccine receive validation from WHO and national regulatory agencies.', '2024-02-10 01:22:42', '2024-02-10 01:22:42'),
(422, 320, 'Experts around the world are continuously studying how the new variants affect the behaviour of the virus, including any potential impact on the effectiveness of COVID-19 vaccines.\r\n\r\nBut in the meantime, the important thing to do is to get vaccinated and continue measures to reduce the spread of the virus ', '2024-02-10 01:37:36', '2024-02-10 01:37:36'),
(425, 317, 'Experts are continuing to monitor these variants around the world to better understand their impact, including on children. So far, the evidence doesn', '2024-02-10 01:40:13', '2024-02-10 01:40:13'),
(428, 323, 'If you have been fully vaccinated but are showing symptoms of COVID-19, you should contact your doctor about whether you should get tested.', '2024-02-10 01:46:37', '2024-02-10 01:46:37'),
(431, 325, 'Yes, this should continue with appropriate precautions. There is no evidence to date that the COVID-19 virus is transmitted through breastfeeding. Breastmilk provides antibodies that protect babies against many infections. Breastfeeding significantly reduces the risk of death in newborns and young infants, provides lifelong health benefits for children, and improves the health of mothers as well.\r\n\r\nPrecautions include wearing a medical mask if available, washing your hands with soap and water or with an alcohol-based hand rub before and after touching your baby, and routinely cleaning and disinfecting surfaces you have touched.', '2024-02-10 02:16:11', '2024-02-10 02:16:11'),
(434, 332, 'The term ', '2024-02-10 02:17:51', '2024-02-10 02:17:51'),
(437, 341, 'It', '2024-02-10 02:22:45', '2024-02-10 02:22:45'),
(440, 344, 'People living with HIV (PLHIV) who have not achieved viral suppression through antiretroviral treatment (ART) may have a compromised immune system that leaves them vulnerable to opportunistic infections and further HIV disease progression. There is no clinical evidence that PLHIV have a higher risk of infection with SARS-CoV-2 when compared with HIV-negative people.', '2024-02-10 02:35:46', '2024-02-10 02:35:46'),
(443, 347, 'No ARVs are currently recommended by WHO to treat or prevent COVID-19. Initial in vitro, animal and small human observational studies conducted during previous coronavirus outbreaks (SARS and MERS) and in the early phases of the COVID-19 pandemic have suggested that some ARVs, such as lopinavir/ritonavir (LPV/r), could help against SARS-CoV-2 and should be repurposed for treatment and prevention of COVID-19. This hypothesis was subsequently assessed in further observational studies and in large randomized controlled trials, but no clinical benefit or impact on disease severity or mortality were demonstrated (2).', '2024-02-10 02:51:11', '2024-02-10 02:51:11'),
(445, 350, 'Recent research suggests that some people have had false reactive HIV test results when they had COVID-19 (3, 4). These studies evaluated individuals using a 4th generation serology HIV assays. Over the past 4 decades, cross-reactivity due to viral or bacterial infections has been reported with serology HIV assays. To prevent misdiagnosis, WHO recommends HIV be diagnosed through a multi-assay 3 test strategy.', '2024-02-10 02:57:43', '2024-02-10 02:57:43'),
(446, 353, 'Many of the initial clinical studies with COVID-19 vaccines have included a small number of people living with HIV (PLHIV) in their trials. Despite limited data, available information from those studies suggests that current WHO recommended COVID-19 vaccines are safe for PLHIV.', '2024-02-10 03:04:14', '2024-02-10 03:04:14'),
(449, 356, 'Current available studies on the efficacy of COVID-19 vaccines in PLHIV with high CD4 T-cell counts and using ART, indicate that most of these individuals produce antibody levels and cellular immune response in the same range observed in people without HIV infection, suggesting that current recommended COVID-19 vaccines are safe and protective in this population. However, there is data in these studies from individuals with low CD4 T-cell counts (i.e., below 200 cells/mm3) or without HIV viral suppression that show a reduced immune response to the COVID-19 vaccine. Furthermore, the antibody responses after vaccination may dwindle faster than people with higher CD4 T-cell counts. \r\n\r\nThis reduced immune response to COVID-19 vaccines has also been reported in individuals with other causes of severe immunodeficiency (e.g., solid and hematologic malignancies, people with organ transplants and in hemodialysis). Suboptimal immune response against certain vaccine preventable diseases has also been demonstrated in people with advanced HIV disease and/or lower CD4 T-cell counts. \r\n\r\nHigher rates of SARS-CoV-2 infection after primary vaccination (i.e., breakthrough infections) among PLHIV when compared with people without HIV have been described. A population-level analysis conducted in immunocompromised patients indicated a 33% higher incidence rate of breakthrough SARS-CoV-2 infections among PLHIV, albeit without accounting for HIV-specific factors (10). \r\n\r\nAdditionally, a large HIV cohort study with more than 100 000 individuals vaccinated and with good HIV control showed a low overall (3.8%) but 28% higher risk of breakthrough infection without association with HIV viral load or CD4 T-cell counts. The breakthrough rate was also higher in people with vs without HIV (55 cases per 1000 person-years vs 43 cases per 1000 person-years) (11).\r\nThese higher rates and risk of breakthrough infections observed in PLHIV when compared with the general population should not be a reason to postpone or to avoid COVID-19 vaccines in these patients, who have a higher risk of COVID-19 complications and death. It supports the recommendation for the use of additional primary doses in this population as in other immunocompromised groups.', '2024-02-10 03:07:48', '2024-02-10 03:07:48'),
(455, 359, 'Currently approved COVID-19 vaccines are safe and effective in most PLHIV, with significant reduction in the risk of severe COVID-19 disease or death when the standard regimen (currently 1 or 2 doses of the approved COVID-19 vaccine depending on the product) is fully taken as recommended. However, there is a growing evidence of a suboptimal immune response to the standard course of COVID-19 vaccination in people with moderate to severe immunodeficiency, including those with advanced HIV disease, lower CD4 T-cell counts, or unsuppressed viral load.\r\n\r\nTherefore, in people with moderate to severe advanced HIV disease, an additional vaccine dose should be administered as part of the extended primary series and should be given 1', '2024-02-10 03:13:39', '2024-02-10 03:13:39'),
(458, 362, 'People with moderate to severe immunodeficiency have an increased risk of developing severe COVID-19 and suffering from a long-term persistent infection with prolonged viral shedding due to suboptimal immune response. \r\n\r\nFor persons with immune dysfunction, continued use of nonpharmaceutical interventions (e.g., facial mask wearing) and alternative vaccine strategies (e.g., additional vaccine doses or immunogenicity testing) are recommended even after full vaccination.\r\n\r\nThis situation can create an environment for immune escape and selection of evolutionary variants. Several case reports indicated that multi-mutational SARS-CoV-2 variants can arise during such persistent infections in immunocompromised individuals and could result in novel SARS-CoV-2 variants of concern. \r\n\r\nThe findings that immunocompromised patients with persistent SARS-CoV-2 infection may generate new SARS-CoV-2 variants have several medical and public health implications. Heightened precautions should be taken to avert nosocomial transmission of COVID-19 among immunocompromised patients. Such patients should be prioritized for anti-COVID-19 immunization not only to protect them but also to mitigate persistent SARS-CoV-2 infections.', '2024-02-10 03:17:32', '2024-02-10 03:17:32'),
(461, 371, 'No. There are always risks associated with giving infant formula milk to newborns and infants in all settings. The risks associated with giving infant formula milk are increased whenever home and community conditions are compromised, such as reduced access to health services if a baby becomes unwell, reduced access to clean water and/or access to supplies of infant formula milk are difficult or not guaranteed, affordable and sustainable.\r\n\r\nThe numerous benefits of breastfeeding substantially outweigh the potential risks of transmission and illness associated with the COVID-19 virus.', '2024-02-10 16:49:16', '2024-02-10 16:49:16'),
(464, 368, 'Yes, women who are breastfeeding can take the vaccine when it becomes available to them.   \r\n\r\nNone of the currently approved vaccines use the live virus, so there is no risk of passing the virus to the baby through breastmilk.  \r\n\r\nThere is also some evidence that, after vaccination, antibodies are found in breastmilk, which may help protect the baby against COVID-19.', '2024-02-10 16:51:45', '2024-02-10 16:51:45');
INSERT INTO `responses` (`id`, `intent_id`, `content`, `created_at`, `updated_at`) VALUES
(467, 374, 'You can start to breastfeed when you feel well enough to do so. There is no fixed time interval to wait after confirmed or suspected COVID-19. There is no evidence that breastfeeding changes the clinical course of COVID-19 in a mother. Health workers or breastfeeding counsellors should support you to relactate.', '2024-02-10 17:09:23', '2024-02-10 17:09:23'),
(470, 377, 'If you are too unwell to breastfeed your baby due to COVID-19 or other complications, you should be supported to safely provide your baby with breast milk in a way possible, available, and acceptable to you. This could include:\r\n\r\nExpressing milk;\r\nDonor human milk. \r\nIf expressing breast milk or donor human milk are not feasible then consider wet nursing (another woman breastfeeds the child) or infant formula milk with measures to ensure that it is feasible, correctly prepared, safe and sustainable.', '2024-02-10 17:27:58', '2024-02-10 17:27:58'),
(473, 382, 'Yes. In all socio-economic settings, breastfeeding improves survival and provides lifelong health and development advantages to newborns and infants. Breastfeeding also improves the health of mothers.', '2024-02-10 17:39:35', '2024-02-10 17:39:35'),
(476, 383, 'Disinfection practices are important to reduce the potential for COVID-19 virus contamination in non-healthcare settings, such as in the home, office, schools, gyms, publicly accessible buildings, faith-based community centres, markets, transportation and business settings or restaurants. High-touch surfaces in these non-health care settings should be identified for priority disinfection such as door and window handles, kitchen and food preparation areas, counter tops, bathroom surfaces, toilets and taps, touchscreen personal devices, personal computer keyboards, and work surfaces.', '2024-02-10 17:54:02', '2024-02-10 17:54:02'),
(479, 389, 'In non-health care settings, sodium hypochlorite (bleach / chlorine) may be used at a recommended concentration of 0.1% or 1,000ppm (1 part of 5% strength household bleach to 49 parts of water). Alcohol at 70-90% can also be used for surface disinfection. Surfaces must be cleaned with water and soap or a detergent first to remove dirt, followed by disinfection.  Cleaning should always start from the least soiled (cleanest) area to the most soiled (dirtiest) area in order to not spread the dirty to areas that are less soiled.\r\n\r\nAll disinfectant solutions should be stored in opaque containers, in a well-ventilated, covered area that is not exposed to direct sunlight and ideally should be freshly prepared every day.\r\n\r\nIn indoor spaces, routine application of disinfectants to surfaces via spraying is not recommended for COVID-19. If disinfectants are to be applied, these should be via a cloth or wipe which is soaked in the disinfectant.', '2024-02-10 18:13:31', '2024-02-10 18:13:31'),
(482, 395, 'It is important to reduce your risk when using disinfectants:\r\n\r\nThe disinfectant and its concentration should be carefully selected to avoid damaging surfaces and to avoid or minimize toxic effects on household members (or users of public spaces).\r\nAvoid combining disinfectants, such as bleach and ammonia, since mixtures can cause respiratory irritation and release potentially fatal gases.\r\nKeep children, pets and other people away during the application of the product until it is dry and there is no odour.\r\nOpen windows and use fans to ventilate. Step away from odours if they become too strong. Disinfectant solutions should always be prepared in well-ventilated areas.\r\nWash your hands after using any disinfectant, including surface wipes.\r\nKeep lids tightly closed when not in use. Spills and accidents are more likely to happen when containers are open.\r\nDo not allow children to use disinfectant wipes. Keep cleaning fluids and disinfectants out of the reach of children and pets.\r\nThrow away disposable items like gloves and masks if they are used during cleaning. Do not clean and re-use.\r\nDo not use disinfectant wipes to clean hands or as baby wipes.\r\nThe minimum recommended personal protective equipment when disinfecting in non-health care settings is rubber gloves, waterproof aprons and closed shoes. Eye protection and medical masks may also be needed to protect against chemicals in use or if there is a risk of splashing.', '2024-02-10 18:32:50', '2024-02-10 18:32:50'),
(485, 398, 'In outdoor spaces, large-scale spraying or fumigation in areas such as streets or open market places for the COVID-19 virus or other pathogens is not recommended. Streets and sidewalks are not considered as routes of infection for COVID-19. Spraying disinfectants, even outdoors, can be noxious for people', '2024-02-10 18:38:04', '2024-02-10 18:38:04'),
(488, 401, 'No. Spraying of individuals with disinfectants (such as in a tunnel, cabinet, or chamber) is not recommended under any circumstances. This practice could be physically and psychologically harmful and would not reduce an infected person', '2024-02-10 18:42:58', '2024-02-10 18:42:58'),
(491, 404, 'Thorough hand hygiene: washing hands with soap and water or using alcohol-based hand gel, should be performed before touching surfaces, items, pets, and people within the household environment. Please see: https://www.who.int/media/docs/default-source/integrated-health-services-(ihs)/infection-prevention-and-control/hand-hygiene-when-and-how-leaflet.pdf\r\n\r\n\r\nWhile outside, people should always follow physical distancing measures, staying at least one metre from another person; perform hand hygiene by washing hands frequently with soap and water or using alcohol-based hand rub; follow good respiratory hygiene by covering your mouth and nose with your bent elbow or tissue when coughing or sneezing; avoid touching your eyes, nose and mouth; and avoid crowded places.', '2024-02-10 19:10:00', '2024-02-10 19:10:00'),
(497, 407, 'There is no evidence to date of viruses that cause respiratory illnesses being transmitted via food or food packaging. Coronaviruses cannot multiply in food; they need an animal or human host to multiply.\r\n\r\nThe COVID-19 virus is generally thought to be spread from person to person through respiratory droplets. Currently, there is no evidence to support transmission of the COVID-19 virus associated with food.\r\n\r\nBefore preparing or eating food it is important to always wash your hands with soap and water for at least 40-60 seconds. Regular food safety and handling guidance should be followed.', '2024-02-10 19:57:58', '2024-02-10 19:57:58'),
(500, 410, 'No. The use of gloves by the public in public spaces is not a recommended or proven prevention measure. Wearing gloves in public spaces does not replace the need for hand hygiene, nor does it offer any additional measure of protection against the COVID-19 virus than hand hygiene. Gloves do not provide complete protection against hand contamination, as pathogens may gain access to the hands via small defects in gloves or by contamination of the hands during glove removal. People can also transfer pathogens from one surface to another by touching with gloved hands, or even transfer pathogens to the mouth, nose, or eyes if they touch their face with gloved hands.', '2024-02-10 20:25:26', '2024-02-10 20:25:26'),
(503, 413, 'Yes. All modern methods of contraception are safe to use, including during the COVID-19 pandemic.\r\n\r\nIf you have had a baby in the last six months or have a health condition, such as diabetes, high blood pressure, or breast cancer ', '2024-02-10 20:55:02', '2024-02-10 20:55:02'),
(506, 416, 'If you do not want to become pregnant, you should start or continue to use your contraceptive method of choice. You may be able to access information and contraceptive services from a healthcare provider by phone or online.\r\n\r\nIf you cannot access these services you may opt for a method that is available without a prescription (such as condoms, spermicides, diaphragm, pills, or emergency contraceptive pills) from a nearby pharmacy or drug shop.', '2024-02-10 21:09:09', '2024-02-10 21:09:09'),
(509, 419, 'If you cannot access your contraceptive method of choice ', '2024-02-10 21:10:03', '2024-02-10 21:10:03'),
(512, 421, 'All modern methods of contraception help to prevent pregnancy. Women and their partners can choose any modern contraceptive method that is acceptable to and safe for them. The best method of contraception is the one that works well for you.\r\n\r\nThere is a wide variety of modern methods, one of which may suit you best.  \r\n\r\nCondoms, when they are used consistently and correctly, are the only method of contraception that help to prevent unintended pregnancy and protect against sexually transmitted infections, including HIV.  They can be used together with other methods of contraception to protect against both unintended pregnancy and sexually transmitted infections.\r\n\r\nEmergency contraceptive pills can prevent up to 95% of pregnancies when taken within 5 days after intercourse, and they can be taken by anyone with or without a health condition.', '2024-02-10 21:48:42', '2024-02-10 21:48:42'),
(515, 422, 'Yes. It may be difficult however, to access all the methods of contraception that are normally available in your country due to restrictions on movement, lack of supply, as well as increased demands on health providers and services. If you are experiencing side effects or desire urgent removal for other reasons, contact a provider to find out what options suit you best, and which are available and feasible.\r\n\r\nIf you have a pre-existing health condition, consult a provider to find out what options suit you best, and which are available and feasible. Seek advice and information from your health provider and consider using methods that do not have medical restrictions like minipills, condoms, fertility awareness-based methods, diaphragm, spermicides or lactational amenorrhea if you are exclusively breastfeeding.', '2024-02-10 22:15:10', '2024-02-10 22:15:10'),
(518, 425, 'Removal of long acting methods such as implants or IUDs, after the recommended period of use (and routine follow up appointments) may not be prioritized by your country', '2024-02-10 22:25:49', '2024-02-10 22:25:49'),
(521, 428, 'According to currently available evidence, most women of childbearing age with COVID-19 will likely be asymptomatic or have mild COVID-19 symptoms and should continue to take combined hormonal contraception (CHC). Here are the most common possible scenarios: \r\n\r\nWomen who are asymptomatic or with mild symptoms of known COVID-19: combined hormonal contraception can be continued and is considered safe in this population. If women are concerned, their provider should explain that there is no evidence of increased risk of thrombosis among combined hormonal contraception users with mild COVID-19 symptoms. If a combined hormonal contraception user wishes to discontinue this method, she can be offered a progestin-only or non-hormonal method, if available and acceptable.\r\n \r\n\r\nWomen with serious symptoms[1] of COVID-19 who are not hospitalized: Discontinuation of combined hormonal contraception should be considered, based on a patient', '2024-02-10 22:31:06', '2024-02-10 22:31:06'),
(524, 431, 'Plan and develop innovative strategies to ensure as many eligible people as possible can access information and contraception during this period.\r\nIncrease use of mobile phones and digital technologies to help people make decisions about which contraceptive methods to use, and how they can be accessed.\r\nEnable health care workers to provide contraceptive information and services as per national guidelines to the full extent possible. This is particularly important where pregnancy poses a high risk to health.  \r\nExpand availability of contraceptive services (including both information and methods) through places other than healthcare facilities, such as pharmacies, drug shops, online platforms and other outlets.  This can be with or without prescription depending on national guidelines and contraceptive method.  \r\nRelax restrictions on the number of repeat issues of prescription-only hormonal contraceptives that can be issued.\r\nEnsure access to emergency post-coital contraception, including consideration of over the counter provision.\r\nEnable access to contraception for women and girls in the immediate post-partum and post abortion periods when they may access health services.', '2024-02-10 22:38:38', '2024-02-10 22:38:38'),
(527, 434, 'Contact tracing is the process of identifying, assessing, and managing people who have been exposed to someone who has been infected with the COVID-19 virus.', '2024-02-10 22:45:20', '2024-02-10 22:45:20'),
(530, 436, 'Yes. Contact tracing is an essential public health tool for controlling infectious disease outbreaks, such as those caused bythe COVID-19 virus. Contact tracing can break the chains of transmission through the rapid identification, isolation and clinical care of cases, and providing supported quarantine of      contacts, meaning that virus transmission can be stopped.', '2024-02-10 22:59:02', '2024-02-10 22:59:02'),
(533, 437, 'Yes, the principles of contact tracing remain the same for newly identified variants of the COVID-19 virus. While some of the variants of the virus are more transmissible, thorough and timely contact tracing and supported quarantine of contacts is even more important to control the spread of the virus.', '2024-02-10 23:01:58', '2024-02-10 23:01:58'),
(539, 440, 'If you think you may be a contact of someone who has recently been infected, you should be contacted by health authorities to determine if you meet the contact definition. You may also be informed directly by someone you were in contact with who later tested positive. If you have downloaded a COVID-19 proximity tracing application, you may also get notified through your mobile phone.', '2024-02-10 23:22:38', '2024-02-10 23:22:38'),
(542, 458, 'If you are identified as a contact, you should undertake quarantine, which means that you separate yourself from others in your household, stay there and monitor your health for any signs of illness. Some countries have set up dedicated facilities to enable contacts to complete quarantine outside their household. Contact your local health authorities to find out how you can safely quarantine.\r\n\r\nWHO recommends that you stay in quarantine for 14 days after you were last in contact with the person infected with the COVID-19 virus, but the duration of quarantine may vary by country. Check with your local or national health authority.', '2024-02-10 23:26:11', '2024-02-10 23:26:11'),
(545, 443, 'The data storage for tracing apps can either be stored and processed on a central server managed by the national public health authority, or stored and processed on the users', '2024-02-10 23:36:53', '2024-02-10 23:36:53'),
(548, 446, 'Quarantine is the separation of contacts from others after exposure to a probable or confirmed COVID-19 case ', '2024-02-10 23:47:02', '2024-02-10 23:47:02'),
(554, 461, 'Isolation is the separation of people who are known to be infected with the COVID-19 virus from other who are not infected.', '2024-02-11 00:13:25', '2024-02-11 00:13:25'),
(557, 455, 'Yes, providing accurate information when requested is important to successful contact tracing activities. National authorities may ask incoming travelers to report their health status at the time of travel, possible exposures to confirmed or probable COVID-19 cases within the previous two weeks, and to provide their contact details so they can be located for health monitoring or international contact tracing purposes. Authorities may also require arriving passengers to download and use a national COVID-19 digital proximity tracing app on arrival.  Please consult national authorities/airline companies to verify details before you travel.', '2024-02-11 00:37:53', '2024-02-11 00:37:53'),
(560, 452, 'Everyone has a part to play to bring COVID-19 under control, and contact tracing begins with informed, engaged and enabled communities. Understand the local public health and social measures and collaborate with health authorities for case and contact investigation. Agree to monitoring, report signs or symptoms of COVID-19 promptly, and be prepared to quarantine or go into isolation if you become a confirmedcase of COVID-19.       \r\n\r\nIn addition, you can, while respecting physical distancing and all other protective measures, provide support to relatives or friends who have to be isolated or undertake quarantine. Check in on them by phone or offer to bring supplies to their house, if needed. Transmission of the COVID-19 virus can only be stopped if we all play our role to protect our family, friends and community.', '2024-02-11 00:38:47', '2024-02-11 00:38:47'),
(563, 449, 'WHO recommends supported quarantine for 14 days from the last contact with a confirmed case to minimize risk of infecting others. You should remain separated from others in the household for the duration of quarantine. If you cannot be in a separate room, stay at least one metre away from others, the farther the better. Make sure you have enough foodand water, and a way to communicate with others. The quarantine space should be well ventilated. You should minimize your contact with others. If you do have someone visit you during quarantine, you should both wear medical masks, keep windows open if possible and clean your hands before and after being together. Ideally, you should have only one visitor provide food and supplies during the quarantine period and this should be someone at low risk of developing severe COVID-19.\r\n\r\nQuarantinemay cause worry or anxiety, and this is normal. Thiscan also be an opportunity to take time to care for yourself. Consider reconnecting with loved ones via telephone or phone apps, watch movies or read books, exercise indoors, make crafts, or catch up on things you haven', '2024-02-11 01:01:06', '2024-02-11 01:01:06'),
(566, 464, 'Testing wastewater has a long history of use in public health. Environmental surveillance is already used to detect poliovirus in high risk settings, monitor antimicrobial resistance and complement surveillance for other public health programmes.', '2024-02-12 13:06:21', '2024-02-12 13:06:21'),
(569, 526, 'Pulmonary rehabilitation (PR) is a programme \nof exercise, education, and support which is \ndesigned to help you to manage your COPD, \nas well as safely improving your general \nhealth', '2024-03-06 18:13:49', '2024-03-06 18:13:49'),
(570, 527, 'Chronic obstructive pulmonary disease (COPD) may originate in early life and share disease mechanisms with asthma-like symptoms in early childhood. This possibility remains unexplored on account of the lack of long-term prospective studies from infancy to the onset of COPD', '2024-03-06 18:13:51', '2024-03-06 18:13:51'),
(571, 528, 'Asthma is often under-diagnosed and under-treated, particularly in low- and middle-income countries.\n\nPeople with under-treated asthma can suffer sleep disturbance, tiredness during the day, and poor concentration. Asthma sufferers and their families may miss school and work, with financial impact on the family and wider community. If symptoms are severe, people with asthma may need to receive emergency health care and they may be admitted to hospital for treatment and monitoring. In the most severe cases, asthma can lead to death.', '2024-03-06 18:14:09', '2024-03-06 18:14:09'),
(572, 529, 'People with asthma and their families need education to understand more about their asthma. This includes their treatment options, triggers to avoid, and how to manage their symptoms at home.\n\nIt is important for people with asthma to know how to increase their treatment when their symptoms are worsening to avoid a serious attack. Healthcare providers may give an asthma action plan to help people with asthma to take greater control of their treatment.', '2024-03-06 18:14:13', '2024-03-06 18:14:13'),
(573, 530, 'The 4:4:4 rule describes the steps to take in an asthma-related emergency. Research shows the rule is effective for improving asthma control and reducing hospital admissions.', '2024-03-06 18:14:16', '2024-03-06 18:14:16'),
(574, 531, 'Step 1: Sit Upright and Stay Calm\nExperiencing an asthma attack can be frightening. The first step in the 4:4:4 rule is to sit upright and stay calm. Sitting up straight allows you to expand your lungs more fully and reduces pressure on the chest, making it easier to breathe. Staying calm is equally important since anxiety can exacerbate symptoms by causing rapid breathing and increased heart rate.\n\nStep 2: Shake the Inhaler and Take Four Puffs\nShake your inhaler well before use. Then hold it upright with one hand while removing the cap with the other. Breathe out slowly away from your inhaler before placing the mouthpiece between your teeth and closing your lips around it. Then inhale deeply through your mouth while pressing down on the canister to release the medication into your lungs. Hold your breath for about 10 seconds after inhaling to allow time for the medication to deposit deep within lung tissue where it can be most effective.\n\nStep 3: Wait Four Minutes and Take Four More Puffs if Needed\nWait four minutes after puffing the inhaler to allow the medication to reach its full potential. If symptoms persist, take another four puffs of the inhaler. Waiting four minutes before taking more medication can be challenging while experiencing severe asthma symptoms, but following this step ensures that you take the appropriate dose of therapy and don’t overuse your inhaler.\n\nStep 4: If Symptoms Persist, Call an Ambulance\nIf symptoms remain severe, calling an ambulance is the best option to prevent further complications. The effects of severe asthma can be life-threatening, and it is crucial for patients to seek medical service as soon as possible.\n\nWhen calling an ambulance, provide all necessary information about your condition. You might provide details on how long you have been experiencing symptoms, whether you have taken any medication or not, and if you have any underlying conditions or allergies.\n\nIf discharge from the emergency department is not an option, admission to the hospital may be necessary to manage the condition. Severe asthma attacks can cause damage to lung function that needs ongoing monitoring and treatment, so make sure you follow up with your healthcare provider after receiving emergency care.', '2024-03-06 18:14:18', '2024-03-06 18:14:18'),
(575, 532, 'Delaying first aid can lead to severe consequences. The longer one waits to administer first aid, the more severe the symptoms become, making it harder to manage them effectively. Therefore, it’s crucial to act promptly when someone is experiencing an asthma attack.\n\nUsing expired or unfamiliar medication during first aid can worsen the situation. Always check the expiry dates on medications before using them and ensure you know how to use them correctly.\n\nGiving too much medication may cause adverse side effects like increased heart rate or blood pressure in some people with pre-existing conditions. Therefore, always follow prescribed dosage instructions carefully when administering medication during first aid.\n\nIgnoring signs of worsening asthma symptoms can be dangerous and lead to a life-threatening situation. If you notice any changes in your breathing pattern or if you start to feel dizzy or lightheaded, seek immediate medical attention.', '2024-03-06 18:14:20', '2024-03-06 18:14:20'),
(576, 533, 'Signs that someone needs first aid for an Asthma attack include:\nSuddenly hard to breathe\nCan’t talk normally\nCoughing\nWheezing\nFeeling of chest tightness', '2024-03-06 18:14:28', '2024-03-06 18:14:28'),
(577, 534, 'Your symptoms get worse very quickly  \nYou have severe shortness of breath, can’t speak comfortably or lips look blue  \nYou get little or no relief from your reliever inhaler', '2024-03-06 18:14:30', '2024-03-06 18:14:30'),
(578, 535, '• Remove puffer cap and shake puffer.\n\n• Insert puffer upright into spacer.\n\n• Put mouthpiece of spacer between person\'s teeth and seal lips around it. • Press once firmly on puffer to release one puff\n\nInto spacer. • Get them to take 4 breaths in and out of spacer.\n\n• Repeat, 1 puff at a time, until 4 puffs taken.\n\n• Replace cap on puffer.', '2024-03-06 18:14:34', '2024-03-06 18:14:34'),
(579, 536, 'Some people with asthma use a different reliever inhaler when they have asthma symptoms.', '2024-03-06 18:14:37', '2024-03-06 18:14:37'),
(580, 537, 'Remove cap and shake well\nAsk the person to breathe out away from puffer\nPlace mouthpiece between the person’s teeth and seal lips around it\nAsk person to take a slow deep breath\nPress once firmly on puffer while person breathes in\nSlip puffer out of mouth\nGet person to hold breath for 4 second or as long as comfortable\nBreathe out slowly away from puffer\nRepeat 1 puff at a time until 4 puffs taken – remember to shake the puffer before each puff\nReplace cap.', '2024-03-06 18:14:39', '2024-03-06 18:14:39'),
(581, 538, 'ASTHMA ATTACK is when\nYou have increasing wheezing, cough, chest tightness or shortness of breath  \nYou are waking often at night with asthma symptoms  \nYou need to use your reliever again within 3 hours', '2024-03-06 18:14:41', '2024-03-06 18:14:41'),
(582, 539, 'Follow the person’s Action Plan for Anaphylaxis, if available. If the person has known severe allergies and seems to be having a severe allergic reaction, use their adrenaline autoinjector (e.g. EpiPen, Anapen) before giving asthma reliever medicine.', '2024-03-06 18:14:44', '2024-03-06 18:14:44'),
(583, 540, 'The exact cause of asthma is not known. Researchers think it is partially passed down through families. But it can also be caused by many other things such as the environment, infections and other exposures, like tobacco smoke.', '2024-03-06 18:14:46', '2024-03-06 18:14:46'),
(584, 541, 'A child is more likely to be diagnosed with asthma if he or she:\n\nIs age 5 to 17 years old (though for many, symptoms start sooner)\nHas family members with asthma\nHas food allergies, eczema or nasal allergies\nIs around tobacco smoke\nIs around air pollution\nHas another health problem, such as being overweight', '2024-03-06 18:14:49', '2024-03-06 18:14:49'),
(585, 542, 'Asthma is a clinical diagnosis. However, there are some tests that can be used to help support a diagnosis of asthma, depending on the age of the child and the clinical situation. To diagnose asthma, your child’s health care provider may recommend these tests:\n\nSpirometry. A spirometer is a device used to check lung function. It can typically be done starting around age 5. \nPeak flow monitoring. A peak flow meter is used to measure the amount of air a child can blow out of the lungs. This measurement can be helpful in some, particularly older, children.\nChest X-rays. This diagnostic test uses invisible energy beams to make images of internal tissues, bones and organs on film. This can help rule out other conditions that appear similar to asthma, but may appear normal if the child has asthma.\nAllergy tests. Allergy tests can help identify triggers for asthma, but are not themselves diagnostic of asthma.\nAs', '2024-03-06 18:14:52', '2024-03-06 18:14:52'),
(586, 543, 'Treatment will depend on your child’s symptoms, age and general health. It will also depend on how severe the condition is.\n\nYour child’s health care provider may refer you to a pulmonologist. This is a doctor with special training to treat lung conditions. Your child may also be referred to an allergist. Both of these specialties have expertise in treating asthma. Your child’s treatment is based on how severe his or her symptoms are and how well they are controlled. Treatment includes finding triggers and ways to avoid them. It will also include medicines. Asthma medicines include:\n\nMedications for quick relief of symptoms:\n\nBronchodilators (beta agonists). These medicines are used for quick relief to help open the narrowed airways. They help relieve coughing, wheezing, shortness of breath or difficulty breathing. The most commonly used asthma medication, albuterol, is a bronchodilator.\nCombination inhalers with inhaled steroids and a certain long-acting bronchodilator (formoterol). Sometimes, in specific cases, these medications may also be used for quick relief.\nSteroids (oral or injectable forms). These are sometimes needed for short-term treatment of significant asthma flare-ups.\nAsthma control medications to help control and prevent symptoms and reduce the frequency and severity of exacerbations:\n\nInhaled steroids. These medicines help decrease inflammation in the airways, and reduce asthma symptom frequency and severity of exacerbations (flare-ups). They can be given via inhaler or nebulizer.\nCombination inhalers with inhaled steroids and long-acting bronchodilator. These are similar to inhaled steroids, but have a longer-acting bronchodilator (beta agonist).\nLong-acting muscarinic antagonists. This medication may be used as an add-on therapy for children whose symptoms are not controlled on first-line medications. It targets another receptor in the lungs to help open up the airways.\nAnti-leukotrienes. These medicines are anti-inflammatory, and target a specific pathway that is involved in asthma. These are usually given by mouth.\nAsthma biologics. These medications target specific molecules that are involved in asthma, including inflammatory molecules and cell receptors, to disrupt inflammatory pathways involved in asthma. They are typically given by injection.\nImmunotherapy. Immunotherapy that is targeted against specific allergens in children who are allergic to them and exposed to them are helpful in some patients.', '2024-03-06 18:15:00', '2024-03-06 18:15:00'),
(587, 544, 'Asthma that is not well controlled may cause:\n\nSevere asthma attacks\nLasting damage to the airways\nIncreased time in the hospital or the emergency department\nMissed school or other activities', '2024-03-06 18:15:03', '2024-03-06 18:15:03'),
(588, 545, 'Asthma can’t be completely prevented. There are steps you can take to reduce the chance of your child developing asthma. They include:\n\nAvoiding secondhand smoke\nAvoiding air pollution\nIn most children, asthma flare-ups can be prevented by:\n\nAvoiding known triggers\nCarefully managing symptoms\nTaking medicines as instructed', '2024-03-06 18:15:07', '2024-03-06 18:15:07'),
(589, 546, 'You can help manage your child’s asthma by:\n\nFinding out your child’s triggers and keeping him or her away from them.\nGiving your child medicine as directed to prevent symptoms.\nCreating and keeping an Asthma Action Plan.\nClosely watching asthma signs and symptoms to know when they are getting worse.\nKnowing what to do when asthma gets worse.\nMaking sure your child has proper emergency medication (typically albuterol) and paperwork on file with his or her school.\nWork with your child’s health care provider to find the best way to take care of your child’s asthma. There are guidelines for children from newborn to age 4, ages 5 to 11, and ages 12 and older.\n\nThe more information a person with asthma has, the better the asthma can be controlled.', '2024-03-06 18:15:10', '2024-03-06 18:15:10'),
(590, 547, 'Call your child’s health care provider if your child’s symptoms are not well controlled. For example, if your child is waking at night with symptoms or is having trouble with daily activities.\n\nCall your child’s health care provider or get medical help right away if your child has severe symptoms. These severe symptoms can include trouble:\n\nBreathing\nSleeping\nWalking\nTalking', '2024-03-06 18:15:12', '2024-03-06 18:15:12'),
(591, 548, 'Call your doctor and see your doctor right away if you have difficulty breathing, develop a bluish color in your lips and fingertips, have chest pain, a high fever, or a cough with mucus that is severe or is getting worse', '2024-03-06 18:15:15', '2024-03-06 18:15:15'),
(592, 549, 'Severity is often assessed based on symptoms, physical examination, and imaging studies, such as chest X-rays.', '2024-03-06 18:15:17', '2024-03-06 18:15:17'),
(593, 550, 'Most people with pneumonia respond well to treatment, but pneumonia can cause serious lung and infection problems. It can even be deadly.', '2024-03-06 18:15:20', '2024-03-06 18:15:20'),
(594, 551, 'Pneumonia is an infection of the lungs that may be caused by bacteria, viruses, or fungi. The infection causes the lungs\' air sacs (alveoli) to become inflamed and fill up with fluid or pus. That can make it hard for the oxygen you breathe in to get into your bloodstream.', '2024-03-06 18:15:22', '2024-03-06 18:15:22'),
(595, 552, 'Viruses, bacteria and fungi', '2024-03-06 18:15:24', '2024-03-06 18:15:24'),
(596, 553, 'Fungal pneumonia is most common in people with chronic health problems or weakened immune systems, and in people who are exposed to large doses of certain fungi from contaminated soil or bird droppings.', '2024-03-06 18:15:28', '2024-03-06 18:15:28'),
(597, 554, 'Viruses that infect the upper respiratory tract may also cause pneumonia. SARS-CoV-2, the virus that causes COVID-19, and the influenza virus are the most common cause of viral pneumonia in adults. Respiratory syncytial virus (RSV)  is the most common cause of viral pneumonia in young children. Most viral pneumonias are not serious and last a shorter time than bacterial pneumonia.', '2024-03-06 18:15:31', '2024-03-06 18:15:31'),
(598, 555, 'Bacterial pneumonia is an infection of your lungs caused by certain bacteria. The most common one is Streptococcus (pneumococcus), but other bacteria can cause it too. If you’re young and basically healthy, these bacteria can live in your throat without causing any trouble. But if your body’s defenses (immune system) become weak for some reason, the bacteria can go down into your lungs. When this happens, the air sacs in your lungs get infected and inflamed. They fill up with fluid, and that causes pneumonia.', '2024-03-06 18:15:33', '2024-03-06 18:15:33'),
(599, 556, 'Yes, some types of pneumonia are contagious, meaning it spreads from person to person. Pneumonia is mostly spread when people infected cough, sneeze or talk, sending respiratory droplets into the air. These droplets can then be inhaled by close contacts. Less often, you can get pneumonia from touching an object or surface that has the germ on it and then touching your nose or mouth. Not everyone who is exposed to pneumonia will develop it and some people are at increased risk for getting pneumonia.', '2024-03-06 18:15:35', '2024-03-06 18:15:35'),
(600, 557, 'There is no set time for how long you’ll be contagious once you have pneumonia. The time you may spread pneumonia to others is dependent on the type of pneumonia and what caused you to have it. Generally, if you have bacterial pneumonia, you are contagious for around 48 hours after starting antibiotics and your fever has gone away. If it is viral pneumonia, as symptoms start to go away (especially fever) so does the contagious period. Pneumonia caused by fungi are not contagious.', '2024-03-06 18:15:38', '2024-03-06 18:15:38'),
(601, 558, 'If you think you or your child has symptoms of pneumonia, don\'t wait for the disease to get even worse before you seek care. Call your doctor. And see your doctor right away if you have difficulty breathing, develop a bluish color in your lips and fingertips, have chest pain, a high fever, or a cough with mucus that is severe or is getting worse.\n\nIt\'s especially important to get medical attention for pneumonia if you are in a high-risk group, including adults older than age 65, children age two or younger, people with an underlying health condition or weakened immune system. For some of these vulnerable individuals, pneumonia can quickly become a life-threatening condition.', '2024-03-06 18:15:42', '2024-03-06 18:15:42'),
(602, 559, 'Sometimes pneumonia can be difficult to diagnose because the symptoms are so variable, and are often very similar to those seen in a cold or influenza. To diagnose pneumonia, and to try to identify the germ that is causing the illness, your doctor will ask questions about your medical history, do a physical exam, and run some tests.', '2024-03-06 18:15:45', '2024-03-06 18:15:45'),
(603, 560, 'If your doctor suspects you may have pneumonia, they will probably recommend some tests to confirm the diagnosis and learn more about your infection. These may include:\n\nBlood tests to confirm the infection and to try to identify the germ that is causing your illness.\nChest X-ray to look for the location and extent of inflammation in your lungs.\nPulse oximetry to measure the oxygen level in your blood. Pneumonia can prevent your lungs from moving enough oxygen into your bloodstream.\nSputum test on a sample of mucus (sputum) taken after a deep cough, to look for the source of the infection.\nIf you are considered a high-risk patient because of your age and overall health, or if you are hospitalized, the doctors may want to do some additional tests, including:\n\nCT scan of the chest to get a better view of the lungs and look for abscesses or other complications.\nArterial blood gas test, to measure the amount of oxygen in a blood sample taken from an artery, usually in your wrist. This is more accurate than the simpler pulse oximetry.\nPleural fluid culture, which removes a small amount of fluid from around tissues that surround the lung, to analyze and identify bacteria causing the pneumonia.\nBronchoscopy, a procedure used to look into the lungs\' airways. If you are hospitalized and your treatment is not working well, doctors may want to see whether something else is affecting your airways, such as a blockage. They may also take fluid samples or a biopsy of lung tissue.', '2024-03-06 18:15:47', '2024-03-06 18:15:47'),
(604, 561, 'Most people can manage their symptoms such as fever and cough at home by following these steps:\n\nControl your fever with aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen or naproxen), or acetaminophen. DO NOT give aspirin to children.\nDrink plenty of fluids to help loosen secretions and bring up phlegm.\nDo not take cough medicines without first talking to your doctor. Coughing is one way your body works to get rid of an infection. If your cough is preventing you from getting the rest you need, ask your doctor about steps you can take to get relief.\nDrink warm beverages, take steamy baths and use a humidifier to help open your airways and ease your breathing. Contact your doctor right away if your breathing gets worse instead of better over time.\nStay away from smoke to let your lungs heal. This includes smoking, secondhand smoke and wood smoke. Talk to your doctor if you use tobacco products and are having trouble staying smokefree while you recover. This would be a good time to think about quitting for good.\nGet lots of rest. You may need to stay in bed for a while. Get as much help as you can with meal preparation and household chores until you are feeling stronger. It is important not to overdo daily activities until you are fully recovered.\nIf your pneumonia is so severe that you are treated in the hospital, you may be given intravenous fluids and antibiotics, as well as oxygen therapy, and possibly other breathing treatments.', '2024-03-06 18:15:52', '2024-03-06 18:15:52'),
(605, 562, 'You have a higher risk of getting bacteria pneumonia if you:\n\nAre 65 or older\nHave other conditions like asthma, diabetes, or heart disease\nAre recovering from surgery\nDon’t eat right or get enough vitamins and minerals\nHave another condition that weakens your body’s defenses\nSmoke\nDrink too much alcohol\nHave viral pneumonia\nPeople who have a weakened immune system also have an increased risk for bacterial pneumonia. These include those who recently had an organ transplant. People who are HIV positive, or who have leukemia, lymphoma, or severe kidney disease also stand a greater chance of developing the infection.', '2024-03-06 18:15:54', '2024-03-06 18:15:54'),
(606, 563, 'Possible complications include:\n\nRespiratory failure, which requires a breathing machine or ventilator.\nSepsis, a condition in which there is uncontrolled inflammation in the body, which may lead to widespread organ failure.\nAcute respiratory distress syndrome (ARDS), a severe form of respiratory failure.\nLung abscesses, which are infrequent, but serious complications of pneumonia. They occur when pockets of pus form inside or around the lung. These may sometimes need to be drained with surgery.', '2024-03-06 18:15:56', '2024-03-06 18:15:56'),
(607, 564, 'Get vaccinated\nWash your hands\nDon\'t smoke\nBe aware of your general health', '2024-03-06 18:16:03', '2024-03-06 18:16:03'),
(608, 565, 'Pneumonia can be classified on the basis of where and how the causative germs enter our body, or the part of the lungs that gets affected: Types of pneumonia – How the germs have entered our body:\nCommunity acquired pneumonia (CAP)\nHospital acquired pneumonia (HAP)\nHealthcare acquired pneumonia (HCAP)\nVentilator associated pneumonia (VAP)\nAspiration – A condition where foreign materials (food, saliva, nasal secretions) enter the bronchial tree\nTypes of pneumonia – Depending on the part of lungs affected:\nLobar pneumonia\nBronchial pneumonia\nAcute interstitial pneumonia', '2024-03-06 18:16:05', '2024-03-06 18:16:05'),
(609, 566, 'Pneumonia is not related to weather conditions. People living in cold areas mostly stay indoors to keep themselves warm. As they do not come in contact with fresh air and sunlight too often, bacteria growth becomes easier. Thus, making them susceptible to pneumonia. Again, people living in tropical regions already have hot climatic conditions favorable for bacterial growth. Thus, pneumonia is equally common in these areas as well.', '2024-03-06 18:16:08', '2024-03-06 18:16:08'),
(610, 567, 'Pneumonia is usually not fatal and can be treated with timely diagnosis and administering effective remedies. However, virus infected pneumonia in children and elderly people may prove fatal if proper and quick treatment measures are not opted for.', '2024-03-06 18:16:10', '2024-03-06 18:16:10'),
(611, 568, 'Well it is conveniently believed that double pneumonia is more difficult. However, this is not completely true as severe single pneumonia can prove to be more dangerous than chronic double pneumonia.', '2024-03-06 18:16:12', '2024-03-06 18:16:12'),
(612, 569, 'Yes pneumonia may sometimes lead to further complications.\nBacteremia – Bacteria causing pneumonia may enter the blood steam and pass to other organs and rarely lead to organ failure\nExtremely difficult breathing, requiring ventilation\nPleural effusion – Fluid may further develop within thin layers of tissue lining the lungs or pleura. This may call for a surgical treatment.', '2024-03-06 18:16:14', '2024-03-06 18:16:14'),
(613, 570, 'A single dose of pneumonia is recommended for adults above 65 years. No annual vaccines are required. However, Pneumonia vaccines may perhaps not guarantee 100% prevention. However, people at high risk of pneumonia may definitely have a reduced chance of getting severe pneumonia in future.', '2024-03-06 18:16:17', '2024-03-06 18:16:17'),
(614, 571, 'The answer is YES. Breastfeeding gives your child every essential ingredients to strengthen the immune system and thus fight away germs. However, at a tender age, care needs to be taken that your baby is kept in a clean and safe environment; even if you are breastfeeding him/her.', '2024-03-06 18:16:19', '2024-03-06 18:16:19'),
(615, 572, 'Apart from medical treatments discussed earlier, there are certain food items that can facilitate speedy recovery from pneumonia. However, you need to discuss with your doctor before making any drastic dietary change.\nBelow listed are some of the food items that have shown to improve conditions in most patients:\nA mixed variety of fruits and vegetables you eat\nBeats and spinach are said to be very effective for pneumonia\nCarrot juice is also equally helpful\nWhole grains - Oats, brown rice, barley\nCold water fish provide required amounts of protein and omega 3 fats\nChicken soup is effective for all lung diseases including pneumonia\n6 – 10 cups of liquid, including water, juice, mild tea. Coffee needs to be avoided. Milk may lead to irritation in some patients and therefore you can choose according to your personal requirements', '2024-03-06 18:16:21', '2024-03-06 18:16:21'),
(616, 573, 'The most common type of bacterial pneumonia is called pneumococcal pneumonia. Pneumococcal pneumonia is caused by the Streptococcus pneumoniae germ', '2024-03-06 18:16:23', '2024-03-06 18:16:23'),
(617, 574, 'Pneumonia is most often caused by bacteria or viruses. Some of these bacteria and viruses can be spread by direct contact with a person who is already infected with them.\n\nCommon bacteria and viruses that may cause pneumonia are:\n\nStreptococcus pneumoniae\nMycoplasma pneumonia. This often causes a mild form of the illness called walking pneumonia.\nGroup B streptococcus\nStaphylococcus aureus\nRespiratory syncytial virus (RSV). This is most often seen in children younger than 5 years old.\nParainfluenza virus\nInfluenza virus\nAdenovirus\nPneumonia may sometimes be caused by fungi.', '2024-03-06 18:16:26', '2024-03-06 18:16:26'),
(618, 575, 'A child is more likely to get pneumonia if he or she has:\n\nWeak immune system, such as from cancer\nOngoing (chronic) health problem, such as asthma or cystic fibrosis\nProblems with the lungs or airways\nIn addition, children younger than 1 year old are at risk if they are around secondhand tobacco smoke. This is especially true if their mother smokes.', '2024-03-06 18:16:28', '2024-03-06 18:16:28'),
(619, 576, 'Symptoms may be a bit different for each child. They may also depend on what is causing the pneumonia. Cases of bacterial pneumonia tend to happen suddenly with these symptoms:\n\nCough that produces mucus\nCough pain\nVomiting or diarrhea\nLoss of appetite\nTiredness (fatigue)\nFever\nEarly symptoms of viral pneumonia are the same as those of bacterial pneumonia. But with viral pneumonia, the breathing problems happen slowly. Your child may wheeze and the cough may get worse. Viral pneumonia may make a child more at risk for bacterial pneumonia.\n\nIn addition to the symptoms listed above, your child may have:\n\nChills\nFast or hard breathing\nHeadache\nFussiness\nThe symptoms of pneumonia may look like other health problems. Make sure your child sees his or her healthcare provider for a diagnosis.', '2024-03-06 18:16:32', '2024-03-06 18:16:32'),
(620, 577, 'Your child’s healthcare provider can often diagnose pneumonia with a full health history and physical exam. He or she may include these tests to confirm the diagnosis:\n\nChest X-ray. This test makes images of internal tissues, bones, and organs.\nBlood tests. A blood count looks for signs of an infection. An arterial blood gas test looks at the amount of carbon dioxide and oxygen in the blood.\nSputum culture. This test is done on the mucus (sputum) that is coughed up from the lungs and into the mouth. It can find out if your child has an infection. It’s not routinely done because it is hard to get sputum samples from children.\nPulse oximetry. An oximeter is a small machine that measures the amount of oxygen in the blood. To get this measurement, the provider tapes a small sensor onto a finger or toe. When the machine is on, a small red light can be seen in the sensor. The sensor is painless and the red light does not get hot.\nChest CT scan. This test takes images of the structures in the chest. It is very rarely done.\nBronchoscopy. This procedure is used to look inside the airways of the lungs. It is very rarely done.\nPleural fluid culture. This test takes a sample of fluid from the space between the lungs and chest wall (pleural space). Fluid may collect in that area because of the pneumonia. This fluid may be infected with the same bacteria as the lung. Or the fluid may just be caused by the inflammation in the lung.', '2024-03-06 18:16:37', '2024-03-06 18:16:37'),
(621, 578, 'Treatment may include antibiotics for bacterial pneumonia. No good treatment is available for most viral pneumonias. They often get better on their own. Flu-related pneumonia may be treated with an antiviral medicine.\n\nOther treatments can ease symptoms. They may include:\n\nPlenty of rest\nGetting more fluids\nCool mist humidifier in your child’s room\nAcetaminophen for fever and discomfort\nMedicine for cough\nSome children may be treated in the hospital if they are having severe breathing problems. While in the hospital, treatment may include:\n\nAntibiotics by IV (intravenous) or by mouth (oral) for bacterial infection\nIV fluids if your child is unable to drink well\nOxygen therapy\nFrequent suctioning of your child’s nose and mouth to help get rid of thick mucus\nBreathing treatments, as ordered by your child’s healthcare provider', '2024-03-06 18:16:39', '2024-03-06 18:16:39'),
(622, 579, 'Pneumonia can be a life-threating illness. It may have these complications:\n\nSevere breathing problems\nBacteria that enters the blood', '2024-03-06 18:16:41', '2024-03-06 18:16:41');
INSERT INTO `responses` (`id`, `intent_id`, `content`, `created_at`, `updated_at`) VALUES
(623, 580, 'Pneumococcal pneumonia can be prevented with a vaccine that protects against 13 types of pneumococcal pneumonia. Doctors recommend that children get a series of shots beginning at age 2 months. Talk with your child’s healthcare provider about this vaccine. Another vaccine is available for children older than 2 years who are at increased risk for pneumonia. Talk with your child\'s healthcare to see if it is recommended for your child. Also make sure your child is up-to-date on all vaccines, including the yearly flu shot. Pneumonia can occur after illnesses such as whooping cough and the flu.\n\nYou can also help your child prevent pneumonia with good hygiene. Teach your child to cover their nose and mouth when coughing or sneezing. Your child should also wash their hands often. These measures can help prevent other infections, too.\n\nYour child can be vaccinated against pneumococcal pneumonia. There are 2 types of vaccines that can help prevent pneumococcal disease. The vaccine that is right for your child depends on their age and risk factors. Talk with your child\'s healthcare provider about which vaccine is best for your child and when they should get it.', '2024-03-06 18:16:44', '2024-03-06 18:16:44'),
(624, 581, 'Pneumonia is an infection in the lungs. It can be mild or serious.\nThe illness can be caused by bacteria, viruses, and fungi.\nSome common symptoms include fever, cough, tiredness (fatigue), and chest pain.\nTreatment depends on the cause of the pneumonia.\nSome types of pneumonia can be prevented with a vaccine. Good handwashing and hygiene can also help.', '2024-03-06 18:16:51', '2024-03-06 18:16:51'),
(625, 582, 'This type lasts for one to three weeks\nIt is responsible for a hacking cough and follows a cold or viral infection, such as flu\nIt consists of a cough with mucus, chest discomfort, fever and breathlessness', '2024-03-06 18:16:57', '2024-03-06 18:16:57'),
(626, 583, 'It lasts longer than three months and is characterized by a chronic cough along with mucus\nPeople having this ailment, suffer from breathing difficulties\nSymptoms may get better or worse, according to seasons of the year\nChronic Bronchitis is one type of chronic obstructive pulmonary disease (COPD). A lot of mucus is produced by the inflamed bronchial tubes. This leads to coughing and breathing problems.\nIt is a long standing condition and is never cured completely', '2024-03-06 18:17:05', '2024-03-06 18:17:05'),
(627, 584, '90% caused by viral infections, originating in the lungs. These viruses are typically associated with common cold and flu.\nThe virus comes out in tiny droplets from the nose and the mouth, when someone sneezes. This virus can live for up to 24 hours.\nInfections caused by bacteria can also cause acute bronchitis\nTobacco smoke, vapors, dust, fumes and air pollution, irritates the lungs and leads to this form of bronchitis', '2024-03-06 18:17:07', '2024-03-06 18:17:07'),
(628, 585, 'Causes of chronic bronchitis:\nRepeated irritation of the lung passages cause damage to the pulmonary tissue and the tubes\nSmoking is the most common cause\nLong-term exposure to air pollution and dust in the environment\nRecurring episodes of acute bronchitis', '2024-03-06 18:17:10', '2024-03-06 18:17:10'),
(629, 586, 'Firstly, the doctor performs a thorough physical examination along with a review of medical history of the patient. He or she may ask various questions about the cough, like:\nLength of time since it started\nWhat is expelled\nHow long the fit lasts\nFor a definite diagnosis, the tests performed are:\nPulmonary Function testing: A Spirometer is used and the patient is asked to breathe into it. A spirometer is a device which measures the volume of the lungs and how quickly the air can be expelled from it. The test is used to check for emphysema or asthma and the functioning of the lungs.\nChest X-ray: Helps to confirm whether the cough is due to pneumonia or some other condition. This is normally done for smokers; current or had been in the past.\nHigh Resolution Computed Tomography(HRCT): This is a type of CT scan which creates a high quality image of the lungs. It is like any other CT scan that takes only a few minutes to perform.\nSputum tests: Sputum is the mucus which is coughed up. Examination of cells in the sputum can help in diagnosis of some of the lung problems. It can be tested for whooping cough (pertussis) or such diseases that can be cured with antibiotics. The sputum can also be tested for allergies.', '2024-03-06 18:17:13', '2024-03-06 18:17:13'),
(630, 587, 'The value of FEV1/FVC ratio is used to determine bronchitis. FEV1(Forced expiratory volume) is the volume of air forcefully exhaled in 1 sec. FVC(Forced vital capacity) is the maximum volume of air that can be forcefully exhaled (contains FEV1 inside it). When the ratio is:\nGreater than 80%= minimal obstructive defect\n65-80%= mild obstructive defect\n50-65%=moderate obstructive defect\nLess than 50%= severe obstructive defect', '2024-03-06 18:17:15', '2024-03-06 18:17:15'),
(631, 588, 'Yes, smoking is a common cause of chronic bronchitis. It irritates the airways and can lead to chronic inflammation.', '2024-03-06 18:17:17', '2024-03-06 18:17:17'),
(632, 589, 'In some cases, particularly if caused by bacteria, acute bronchitis can progress to pneumonia.', '2024-03-06 18:17:20', '2024-03-06 18:17:20'),
(633, 590, 'While acute bronchitis can affect people of all ages, chronic bronchitis is more common in older adults.', '2024-03-06 18:17:22', '2024-03-06 18:17:22'),
(634, 591, 'Yes, especially in more severe cases, bronchitis can lead to shortness of breath.', '2024-03-06 18:17:24', '2024-03-06 18:17:24'),
(635, 592, 'Acute bronchitis caused by viruses does not respond to antibiotics. However, bacterial infections may be treated with antibiotics.', '2024-03-06 18:17:27', '2024-03-06 18:17:27'),
(636, 593, 'While rest is beneficial, complete bed rest may not be required. It\'s important to listen to the body and avoid overexertion.', '2024-03-06 18:17:29', '2024-03-06 18:17:29'),
(637, 594, 'Yes, bronchitis can lead to hoarseness or changes in the voice due to irritation of the airways.', '2024-03-06 18:17:31', '2024-03-06 18:17:31'),
(638, 595, 'Yes, fatigue is a common symptom of bronchitis, especially during the acute phase', '2024-03-06 18:17:33', '2024-03-06 18:17:33'),
(639, 596, 'There is no specific vaccine for bronchitis, but vaccines for influenza and pertussis (whooping cough) can help prevent some cases.', '2024-03-06 18:17:36', '2024-03-06 18:17:36'),
(640, 597, 'Yes, bronchitis can cause chest discomfort or pain, particularly during coughing.', '2024-03-06 18:17:38', '2024-03-06 18:17:38'),
(641, 598, 'Yes, some individuals may experience recurrent episodes of acute bronchitis, especially if exposed to respiratory infections frequently.', '2024-03-06 18:17:40', '2024-03-06 18:17:40'),
(642, 599, 'While a physical examination is important, additional tests may be needed for a conclusive diagnosis, especially to rule out other respiratory conditions.', '2024-03-06 18:17:42', '2024-03-06 18:17:42'),
(643, 600, 'Yes, coughing and discomfort associated with bronchitis can disrupt sleep, impacting its quality.', '2024-03-06 18:17:45', '2024-03-06 18:17:45'),
(644, 601, 'Yes, bronchitis can lead to wheezing, especially if there is narrowing of the airways.', '2024-03-06 18:17:47', '2024-03-06 18:17:47'),
(645, 602, 'Yes, bronchitis can develop as a complication of a viral upper respiratory infection, such as the common cold.', '2024-03-06 18:17:49', '2024-03-06 18:17:49'),
(646, 603, 'Chronic bronchitis, especially when associated with long-term smoking, is a significant risk factor for COPD.', '2024-03-06 18:17:52', '2024-03-06 18:17:52'),
(647, 604, 'Over-the-counter cough medications may provide relief, but their effectiveness varies, and it\'s essential to use them as directed.', '2024-03-06 18:17:54', '2024-03-06 18:17:54'),
(648, 605, 'Eating a balanced diet with adequate fluids can support overall health during bronchitis, but there is no specific dietary prescription.', '2024-03-06 18:17:56', '2024-03-06 18:17:56'),
(649, 606, 'While bronchitis primarily affects the lower respiratory tract, it may be associated with upper respiratory symptoms, including sinus congestion.', '2024-03-06 18:17:58', '2024-03-06 18:17:58'),
(650, 607, 'Bronchitis itself does not typically cause ear infections, but it may be associated with other respiratory conditions', '2024-03-06 18:18:01', '2024-03-06 18:18:01'),
(651, 608, 'Severe bronchitis, especially if it leads to respiratory distress, may temporarily affect blood pressure. However, it\'s not a common direct cause.', '2024-03-06 18:18:03', '2024-03-06 18:18:03'),
(652, 609, 'Untreated bronchitis can lead to complications such as pneumonia, especially if caused by bacteria.', '2024-03-06 18:18:05', '2024-03-06 18:18:05'),
(653, 610, 'While bronchitis primarily affects the respiratory system, it may be associated with generalized symptoms, including headaches.', '2024-03-06 18:18:08', '2024-03-06 18:18:08'),
(654, 611, 'While medications can sometimes cause respiratory symptoms, bronchitis is typically associated with infections or irritants.', '2024-03-06 18:18:10', '2024-03-06 18:18:10'),
(655, 612, 'While respiratory infections like bronchitis can impact the sense of taste and smell, it\'s usually temporary.', '2024-03-06 18:18:12', '2024-03-06 18:18:12'),
(656, 613, 'Allergies may increase susceptibility to respiratory infections, including bronchitis, but they are not a direct cause.', '2024-03-06 18:18:15', '2024-03-06 18:18:15'),
(657, 614, 'While bronchitis primarily affects the bronchial tubes, it may be associated with inflammation of the larynx, leading to laryngitis.', '2024-03-06 18:18:17', '2024-03-06 18:18:17'),
(658, 615, 'Severe respiratory distress associated with bronchitis may lead to an increased heart rate, but palpitations are not a common symptom.', '2024-03-06 18:18:21', '2024-03-06 18:18:21'),
(659, 616, 'Severe bronchitis can impact exercise tolerance and athletic performance due to respiratory symptoms.', '2024-03-06 18:18:23', '2024-03-06 18:18:23'),
(660, 617, 'Stress may weaken the immune system, potentially making individuals more susceptible to respiratory infections like bronchitis.', '2024-03-06 18:18:25', '2024-03-06 18:18:25'),
(661, 618, 'While respiratory symptoms are predominant, bronchitis may be associated with mild gastrointestinal symptoms in some cases.', '2024-03-06 18:18:30', '2024-03-06 18:18:30'),
(662, 619, 'Joint pain is not a typical symptom of bronchitis, and its presence may suggest other underlying conditions.', '2024-03-06 18:18:32', '2024-03-06 18:18:32'),
(663, 620, 'GERD can contribute to respiratory symptoms, but bronchitis is not a direct complication.', '2024-03-06 18:18:35', '2024-03-06 18:18:35'),
(664, 621, 'Severe illness, including bronchitis, can temporarily affect blood sugar levels in individuals with diabetes.', '2024-03-06 18:18:39', '2024-03-06 18:18:39'),
(665, 622, 'Chronic illnesses, including bronchitis, may impact mental health, and individuals should seek support if experiencing emotional distress.', '2024-03-06 18:18:41', '2024-03-06 18:18:41'),
(666, 623, 'The lungs are prone to infections. After consultation with a doctor, the following steps should be taken:\nAn annual flu shot\nPneumonia vaccination: A pneumonia vaccine called as PPSV23 is effective against the common bacterial pneumonia till the age of 65. After that, a booster shot may be required as well as a shot for a different form of bacteria. If there is any other medical condition, the booster may be required sooner.\nFor chronic bronchitis, over-the-counter cough syrups should be avoided. Productive coughing (that is coughing leading to expelling mucus), is helpful for the body to get rid of excess phlegm from the lungs. An expectorant may be prescribed if the phlegm is not easy to get rid of.\nIf the mucus is increasing or there is an increase in its thickness, there may be a bacterial infection. Then the G.P prescribes a broad-spectrum antibiotic for a wide range of bacteria, for a 5 to 10 day course. Overweight people may be put on a diet to avoid overstraining the heart.\nIf a person has Chronic Obstructive Pulmonary Disease (COPD), following treatment is given:\nAn Anticholinergic bronchodilator, to dilate the constricted passage ways of the lungs\nSteroids to reduce the inflammation of the passages\nGiving up smoking is the best and most effective way to cure chronic bronchitis, as well as COPD\nFor chronic bronchitis and COPD, ability of the body to transfer oxygen from the lungs to bloodstream is reduced. For this, oxygen therapy may be prescribed on a continuous basis or, as and when required.', '2024-03-06 18:18:43', '2024-03-06 18:18:43'),
(667, 624, 'It is necessary to seek medical assistance if:\n\nYou bring up blood or mucus that thickens or darkens when you cough.\nYou notice a foul-tasting fluid in your mouth.\nYour cough keeps you awake at night.\nYou experience a persistent cough for 1 to 3 weeks.\nYour cough has a ‘barking’ sound and you find it difficult to speak due to wheezing or shortness of breath.\nYou experience any sudden or unexplained weight loss.\nYou experience a high fever of around [celcius:38].\nYou are 65 years of age or older and have a persistent cough.', '2024-03-06 18:18:45', '2024-03-06 18:18:45'),
(668, 625, 'It is rare, but bronchitis can develop into pneumonia. Bronchitis is an inflammation of the bronchial tubes. Pneumonia occurs where there is an infection in the lungs. Tiny air sacs in the lungs called alveoli, become infected and swollen.\n\nPneumonia can be mild, but sometimes more severe depending on the cause of it, especially for the very young, those who are 65 and older, as well as those who generally have weaker immune systems.\n\nCommon symptoms for pneumonia include a cough (you may also bring up a yellow, green or even bloody mucus), fever, bodily shaking and chills, shortness of breath, a sharp chest pain that’s worse when coughing or breathing, confusion (especially in adults 65 years of age and older), fatigue, headaches, heavy sweating or damp and clammy skin, nausea and vomiting.', '2024-03-06 18:18:48', '2024-03-06 18:18:48'),
(669, 626, 'Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is.\n\nIn nearly all cases, antibiotics should not be used to treat acute bronchitis. That’s because most of the infections are caused by viruses. Even children who have been coughing for longer than 8 to 10 days often don\'t need antibiotics.\n\nThe goal of treatment is to help ease symptoms. Treatment may include:\n\nPlenty of rest\nAcetaminophen or ibuprofen for fever and mild pain\nCough medicine for children over 4 years old\nMore fluids\nCool-mist humidifier in your child’s room\nTalk with your child’s healthcare provider before giving over-the-counter cough and cold medicine to your child. The American Academy of Pediatrics does not recommend giving these medicines to children younger than 4 years old because they may cause harmful side effects. For children between ages 4 and 6, only use over-the-counter products when recommended by your child\'s healthcare provider.  In most cases, also don’t give antihistamines. They can dry up the secretions. That can make the cough worse.\n\nDon’t give aspirin or medicine that contains aspirin to a child younger than age 19 unless directed by your child’s provider. Taking aspirin can put your child at risk for Reye syndrome. This is a rare but very serious disorder. It most often affects the brain and the liver.', '2024-03-06 18:18:51', '2024-03-06 18:18:51'),
(670, 627, 'These are the most common symptoms:\n\nDry or mucus-filled cough\nVomiting or gagging\nRunny nose, often before a cough starts\nChest congestion or pain\nAn overall body discomfort or not feeling well\nChills\nSlight fever\nBack and muscle pain\nWheezing\nSore throat', '2024-03-06 18:18:53', '2024-03-06 18:18:53'),
(671, 628, '`These symptoms often last 7 to 14 days. But the cough may continue for 3 to 4 weeks. These symptoms may look like other health problems. Make sure your child sees his or her healthcare provider for a diagnosis.', '2024-03-06 18:18:55', '2024-03-06 18:18:55'),
(672, 629, 'These symptoms often last 7 to 14 days. But the cough may continue for 3 to 4 weeks. These symptoms may look like other health problems. Make sure your child sees his or her healthcare provider for a diagnosis.', '2024-03-06 18:18:58', '2024-03-06 18:18:58'),
(673, 630, 'Most children who have acute bronchitis will get better without any problems. But the illness can lead to pneumonia.', '2024-03-06 18:19:00', '2024-03-06 18:19:00'),
(674, 631, 'You can help prevent acute bronchitis by stopping the spread of viruses that may lead to it. Take these steps:\n\nTeach your child to cover their nose and mouth when coughing or sneezing.\nMake sure your child washes his or her hands often.\nCheck that your child is up-to-date on all vaccines, including the yearly flu shot.', '2024-03-06 18:19:03', '2024-03-06 18:19:03'),
(675, 632, 'Call your child’s healthcare provider right away if your child’s symptoms get worse, if new symptoms develop, or if he or she has:\n\nTrouble breathing\nA high fever', '2024-03-06 18:19:05', '2024-03-06 18:19:05'),
(676, 633, 'Bronchitis is an inflammation of the large breathing tubes (bronchi) in the lungs. Acute bronchitis means that the symptoms often develop quickly and don’t last long.\nIn children, the most common cause of acute bronchitis is a virus.\nA cough, fever, runny nose, and body aches are common symptoms.\nTreatment is aimed at easing symptoms. It may include plenty of rest and fluids. Medicines for fever or cough may also help.\nAntibiotics are not needed, unless the cause is a bacterial infection.', '2024-03-06 18:19:07', '2024-03-06 18:19:07'),
(677, 634, 'Children who have a higher chance of developing acute bronchitis are those who have:\n\nChronic sinusitis\nAllergies\nAsthma\nEnlarged tonsils and adenoids\nExposure to secondhand smoke', '2024-03-06 18:19:10', '2024-03-06 18:19:10'),
(678, 635, 'Acute bronchitis is most often caused by a viral infection. It may also be caused by bacteria or things such as dust, allergens, strong fumes, or tobacco smoke.\n\nIn children, the most common cause of acute bronchitis is a virus. The illness may develop after a cold or other viral infection in the nose, mouth, or throat (upper respiratory tract). Such illnesses can spread easily from direct contact with a person who is sick.', '2024-03-06 18:19:15', '2024-03-06 18:19:15'),
(679, 636, 'Without adequate treatment, children with tuberculosis disease, especially those under five years of age, are at high risk of death.', '2024-03-06 18:19:18', '2024-03-06 18:19:18'),
(680, 637, 'TB is a rare but contagious disease caused by a bacterium called Mycobacterium tuberculosis. It primarily affects the lungs, but can also target parts of the body. While the disease is less common than it once was, some groups of children and teens have a high risk of getting this germ.', '2024-03-06 18:19:20', '2024-03-06 18:19:20'),
(681, 638, 'Yes, there is a vaccine called Bacillus Calmette-Guérin (BCG) that provides some protection against tuberculosis.', '2024-03-06 18:19:22', '2024-03-06 18:19:22'),
(682, 639, 'Children and teens at higher risk include those who:\n\nAre living in a household with an adult who has active tuberculosis\n\nWere born in a country that has a high prevalence of TB\n\nAre visiting a country where TB is endemic and who have extended contact with people who live there\n\nChildren who are younger than 4 years old, or teenagers who have started puberty\n\nChildren who have a problem with their immune system (including those who are infected with HIV, or take medications that will decrease their body\'s immune system)', '2024-03-06 18:19:25', '2024-03-06 18:19:25'),
(683, 640, 'The healthcare provider will ask about your child’s symptoms and health history. They may also ask about your family’s health history. They will give your child a physical exam.\n\nOne way of diagnosing TB is with a TB skin or blood test. In the skin test, a small amount of testing material is injected into the top layer of the skin. If a certain size bump develops within 2 or 3 days, the test may be positive for TB infection. For the TB blood test, a small amount of blood is taken from the child’s arm or hand. It takes a few days for the results to come back.\n\nYour child may also need a chest X-ray, sputum testing, or a biopsy of abnormal glands or other body tissue.  \n\nA TB skin or blood test is advised for a child who:\n\nMay have been exposed to TB in the last 5 years\n\nHas an X-ray that looks like TB\n\nHas any symptoms of TB\n\nComes from a country where TB is common\n\nYearly TB skin or blood testing should be done on children who:     \n\nHave HIV\n\nAre in a detention facility\n\nA child who is exposed to high-risk people should be tested every 2 to 3 years.', '2024-03-06 18:19:30', '2024-03-06 18:19:30'),
(684, 641, 'Treatment may include a short hospital stay to be treated with medicine.\n\nFor latent TB, several medicine options are available. Children over 2 years old can be treated with once-weekly medicine for 12 weeks or several months of daily medicine.\n\nFor active TB, a child will be given 2 to 4 medicines for 6 months or more.  \n\nWith active TB, children usually start to get better within a few weeks of starting treatment. After 2 weeks of treatment with medicine, a child is usually not contagious. Treatment must be fully finished as prescribed. It\'s important to have your child take all of the medicines for the entire time period.\n\nTalk with your child’s healthcare provider about the risks, benefits, and possible side effects of all medicines.', '2024-03-06 18:19:33', '2024-03-06 18:19:33'),
(685, 642, 'Call the healthcare provider if your child has:\n\nSymptoms that don’t get better, or get worse\n\nNew symptoms', '2024-03-06 18:19:37', '2024-03-06 18:19:37'),
(686, 643, 'Tuberculosis (TB) is an ongoing (chronic) infection caused by bacteria. It usually infects the lungs. But other organs such as the kidneys, spine, or brain may be affected.\n\nA child can be infected with TB bacteria and not have active disease.\n\nThe most common symptoms of active TB include fever, cough, weight loss, and chills.\n\nTB is diagnosed with a TB skin or blood test, chest X-ray, sputum tests, and possibly other testing or biopsies.\n\nTB treatment requires medicines for a few months. The amount of time and the number of medicines needed varies depending on the stage of TB and other factors. Treatment for active TB may include a short-term hospital stay to be treated with medicine.', '2024-03-06 18:19:40', '2024-03-06 18:19:40'),
(687, 644, 'TB may be staged like this:\n\nExposed. This is when a child has been in contact with a person who has TB, but the child still has a negative TB skin or blood test, a normal chest X-ray, and no symptoms.\n\nLatent TB infection.  This is when a child has TB bacteria in their body, but does not have symptoms. The infected child’s immune system controls the infection and causes the TB bacteria to be inactive. For most people who are infected, the TB will be latent for life. This child would have a positive TB skin or blood test but a normal chest X-ray and no TB symptoms. They can\'t spread the infection to others.\n\nTB disease. This is when a child has signs and symptoms of an active infection. This child would have a positive or negative TB skin or blood test, and testing showing active TB disease in the lungs or another site in the body. They can spread the disease if the infection is in the lungs and is untreated.', '2024-03-06 18:19:44', '2024-03-06 18:19:44'),
(688, 645, 'TB is caused by bacteria. It’s most often caused by Mycobacterium tuberculosis (M. tuberculosis). Many children infected with M. tuberculosis never develop active TB and remain in the latent TB stage.\n\nTB bacteria is spread through the air when an infected person coughs, sneezes, speaks, sings, or laughs. A child usually does not become infected unless they have repeated contact with the bacteria. TB is not spread through personal items, such as clothing, bedding, cups, eating utensils, a toilet, or other items that a person with TB has touched.', '2024-03-06 18:19:47', '2024-03-06 18:19:47'),
(689, 646, 'Yes, TB can affect other organs, leading to extrapulmonary tuberculosis. Common sites include lymph nodes, bones, and the central nervous system.', '2024-03-06 18:19:49', '2024-03-06 18:19:49'),
(690, 647, 'Drug-resistant TB may require a longer and more complex treatment regimen, often involving multiple antibiotics for an extended duration.', '2024-03-06 18:19:53', '2024-03-06 18:19:53'),
(691, 648, 'TB is more prevalent in low-income and resource-limited settings, but it can affect people worldwide.', '2024-03-06 18:19:56', '2024-03-06 18:19:56'),
(692, 649, 'Yes, latent TB can become active, especially if the immune system becomes weakened, leading to the development of active TB disease.', '2024-03-06 18:19:58', '2024-03-06 18:19:58'),
(693, 650, 'No, TB is primarily transmitted through the air, and casual contact or touching surfaces is not a common mode of transmission.', '2024-03-06 18:20:00', '2024-03-06 18:20:00'),
(694, 651, 'TB is not considered a sexually transmitted infection, and sexual contact is not a common mode of transmission.', '2024-03-06 18:20:04', '2024-03-06 18:20:04'),
(695, 652, 'Yes, individuals with HIV/AIDS are more susceptible to TB, and TB can worsen the progression of HIV.', '2024-03-06 18:20:08', '2024-03-06 18:20:08'),
(696, 653, 'Yes, latent TB infection is often asymptomatic, meaning individuals may not experience symptoms.', '2024-03-06 18:20:10', '2024-03-06 18:20:10'),
(697, 654, 'TB can infect joints, leading to a condition known as skeletal tuberculosis, which may cause joint pain and inflammation.', '2024-03-06 18:20:14', '2024-03-06 18:20:14'),
(698, 655, 'TB is not typically detected in routine blood tests. Specific tests, such as the tuberculin skin test or interferon-gamma release assays, are used for diagnosis.', '2024-03-06 18:20:16', '2024-03-06 18:20:16'),
(699, 656, 'Yes, individuals with TB can be contagious even before symptoms appear, making early detection and treatment crucial.', '2024-03-06 18:20:18', '2024-03-06 18:20:18'),
(700, 657, 'TB is typically treated with a combination of antibiotics to prevent the development of drug resistance.', '2024-03-06 18:20:22', '2024-03-06 18:20:22'),
(701, 658, 'Completing the full course of TB treatment is essential to prevent the development of drug-resistant TB and ensure a successful cure.', '2024-03-06 18:20:24', '2024-03-06 18:20:24'),
(702, 659, 'Yes, TB can affect people of all ages, including children. However, childhood TB may present with different symptoms.', '2024-03-06 18:20:27', '2024-03-06 18:20:27'),
(703, 660, 'TB itself does not typically cause skin rashes, but certain medications used in TB treatment may lead to skin reactions.', '2024-03-06 18:20:29', '2024-03-06 18:20:29'),
(704, 661, 'While TB can be transmitted through breast milk, the risk is low, and breastfeeding is generally encouraged with appropriate precautions.', '2024-03-06 18:20:31', '2024-03-06 18:20:31'),
(705, 662, 'TB transmission from a pregnant woman to her unborn child is rare, but it can occur.', '2024-03-06 18:20:37', '2024-03-06 18:20:37'),
(706, 663, 'Yes, with successful treatment, individuals with TB can lead normal lives. Follow-up care and monitoring are important.', '2024-03-06 18:20:39', '2024-03-06 18:20:39'),
(707, 664, 'TB itself does not typically cause skin rashes, but certain medications used in TB treatment may lead to skin reactions.', '2024-03-06 18:20:41', '2024-03-06 18:20:41'),
(708, 665, 'TB is not transmitted through food or water. It is primarily an airborne', '2024-03-06 18:20:44', '2024-03-06 18:20:44'),
(709, 666, 'TB can affect the ear, leading to hearing loss, especially in cases of extrapulmonary TB involving the middle ear.', '2024-03-06 18:20:46', '2024-03-06 18:20:46'),
(710, 667, 'TB can affect the eyes, leading to ocular TB, which may cause symptoms such as redness, pain, and vision changes.', '2024-03-06 18:20:48', '2024-03-06 18:20:48'),
(711, 668, 'TB is not commonly transmitted through saliva or kissing, but close and prolonged contact with an infected person may pose a risk.', '2024-03-06 18:20:50', '2024-03-06 18:20:50'),
(712, 669, 'TB can affect the abdominal organs, leading to symptoms such as abdominal pain, weight loss, and digestive issues.', '2024-03-06 18:20:52', '2024-03-06 18:20:52'),
(713, 670, 'While reinfection is possible, completing treatment successfully usually provides immunity against the same strain.', '2024-03-06 18:20:55', '2024-03-06 18:20:55'),
(714, 671, 'TB transmission through organ transplantation is possible, and recipients are carefully screened to prevent this.', '2024-03-06 18:20:57', '2024-03-06 18:20:57'),
(715, 672, 'Some individuals may experience a lingering cough after TB treatment, and medical follow-up is important.', '2024-03-06 18:21:17', '2024-03-06 18:21:17'),
(716, 673, 'With successful treatment, individuals with TB can lead normal lives, although the severity of illness and comorbidities may affect life expectancy.', '2024-03-06 18:21:19', '2024-03-06 18:21:19'),
(717, 674, 'Proper cleaning and disinfection of respiratory therapy devices are crucial to prevent transmission. Sharing devices should be avoided.', '2024-03-06 18:21:22', '2024-03-06 18:21:22'),
(718, 675, 'The risk of TB transmission through dental procedures is low, and standard infection control measures are effective in minimizing this risk.', '2024-03-06 18:21:24', '2024-03-06 18:21:24'),
(719, 676, 'TB can affect the liver, leading to hepatic TB, which may cause symptoms such as abdominal pain and jaundice.', '2024-03-06 18:21:26', '2024-03-06 18:21:26'),
(720, 677, 'While less efficient than coughing or sneezing, TB transmission can occur through respiratory droplets released during talking.', '2024-03-06 18:21:31', '2024-03-06 18:21:31'),
(721, 678, 'TB transmission in public restrooms is unlikely, as it requires prolonged close contact with an infected person.', '2024-03-06 18:21:37', '2024-03-06 18:21:37'),
(722, 679, 'Blood donation policies vary, but individuals who have completed TB treatment may be eligible to donate blood, depending on local guidelines.', '2024-03-06 18:21:40', '2024-03-06 18:21:40'),
(723, 680, 'While the risk is low, it is advisable to avoid sharing personal hygiene items to prevent the potential transmission of TB.', '2024-03-06 18:21:43', '2024-03-06 18:21:43'),
(724, 681, 'TB transmission in nail salons is unlikely, and standard infection control measures should be followed.', '2024-03-06 18:21:50', '2024-03-06 18:21:50'),
(725, 682, 'Transmission in open spaces is less likely due to the dispersion of respiratory droplets. Close and prolonged contact poses a higher risk.', '2024-03-06 18:21:53', '2024-03-06 18:21:53'),
(726, 683, 'TB transmission through insect bites is not documented. TB is primarily transmitted through respiratory routes.', '2024-03-06 18:21:56', '2024-03-06 18:21:56'),
(727, 684, 'TB does not directly cause diabetes, but the illness and associated factors may contribute to the development of diabetes in some cases.', '2024-03-06 18:22:01', '2024-03-06 18:22:01'),
(728, 685, 'Breastfeeding is generally safe if the mother is on TB treatment, as long as proper precautions are taken.', '2024-03-06 18:22:04', '2024-03-06 18:22:04'),
(729, 686, 'TB transmission through tears or eye contact is unlikely, and respiratory droplets are the primary mode of transmission.', '2024-03-06 18:22:08', '2024-03-06 18:22:08'),
(730, 687, 'Travel restrictions may vary, but individuals who have completed TB treatment are generally able to travel internationally, provided they are deemed non-infectious.', '2024-03-06 18:22:12', '2024-03-06 18:22:12'),
(731, 688, 'TB transmission through tattoos or piercings is highly unlikely, and standard hygiene practices should be followed', '2024-03-06 18:22:14', '2024-03-06 18:22:14'),
(732, 689, 'While less efficient than coughing or sneezing, TB transmission can occur through respiratory droplets released during talking.', '2024-03-06 18:22:16', '2024-03-06 18:22:16'),
(733, 690, 'Lower respiratory tract infection', '2024-03-06 18:22:18', '2024-03-06 18:22:18'),
(734, 691, 'Lower Respiratory Tract Infections (LRTI) are infections that affect the airways (below the level of the larynx), including the trachea and the alveolar sacs.', '2024-03-06 18:22:21', '2024-03-06 18:22:21'),
(735, 692, 'a recent cold or flu\na weakened immune system\nbeing more than 65 years old\nbeing under 5 years old\nrecent surgery\ntobacco smoke\ndust\nchemicals\nvapors and fumes\nallergens\nair pollution', '2024-03-06 18:22:23', '2024-03-06 18:22:23'),
(736, 693, 'Infections in the lower respiratory tract are primarily the result of:\n\nviruses, as with the flu or respiratory syncytial virus (RSV)\nbacteria, such as Streptococcus or Staphylococcus aureus\nfungal infections\nmycoplasma, which are neither viruses or bacteria but are small organisms with characteristics of both\nIn some cases, substances from the environment can irritate or cause inflammation in the airways or lungs, which can lead to an infection. These include:\n\ntobacco smoke\ndust\nchemicals\nvapors and fumes\nallergens\nair pollution', '2024-03-06 18:22:25', '2024-03-06 18:22:25'),
(737, 694, 'Recovery time for a lower respiratory tract infection varies from person to person.\n\nAccording to the American Lung Association, a healthy young adult can recover from a lower respiratory tract infection, such as pneumonia, in around 1 week. For older adults, it may take several weeks to make a full recovery.', '2024-03-06 18:22:27', '2024-03-06 18:22:27'),
(738, 695, 'acute bronchitis\npneumonia \nacute exacerbation \nchronic lung diseases such as COPD or bronchiectasis\nTuberculosis\nInfluenza\nPertusis(Whooping cough)', '2024-03-06 18:22:30', '2024-03-06 18:22:30'),
(739, 696, 'Common symptoms include coughing, difficulty breathing, chest pain, production of phlegm, fever, fatigue, and in some cases, coughing up blood.', '2024-03-06 18:22:33', '2024-03-06 18:22:33'),
(740, 697, 'Diagnosis often involves a combination of clinical evaluation, imaging studies (such as chest X-rays), laboratory tests on respiratory specimens (e.g., sputum analysis), and in some cases, blood tests.', '2024-03-06 18:22:35', '2024-03-06 18:22:35'),
(741, 698, 'Yes, many lower respiratory tract infections are contagious, especially those caused by viruses and certain bacteria. The transmission can occur through respiratory droplets when an infected person coughs or sneezes.', '2024-03-06 18:22:37', '2024-03-06 18:22:37'),
(742, 699, 'Yes, certain populations, such as the elderly, young children, and individuals with weakened immune systems, may be more susceptible to lower respiratory tract infections.', '2024-03-06 18:22:40', '2024-03-06 18:22:40'),
(743, 700, 'Prevention measures include practicing good respiratory hygiene, proper hand hygiene, vaccination, and avoiding close contact with sick individuals.', '2024-03-06 18:22:43', '2024-03-06 18:22:43'),
(744, 701, 'No, antibiotics are effective against bacterial infections, but viral infections are usually managed with supportive care.', '2024-03-06 18:22:45', '2024-03-06 18:22:45'),
(745, 702, 'Yes, smoking damages the respiratory system and weakens the immune response, increasing the risk of respiratory infections.', '2024-03-06 18:22:47', '2024-03-06 18:22:47'),
(746, 703, 'Yes, complications may include pneumonia, respiratory failure, sepsis, and the development of chronic respiratory conditions.', '2024-03-06 18:22:50', '2024-03-06 18:22:50'),
(747, 704, 'In some cases, especially if the infection is severe or recurrent, there may be a risk of long-term lung damage.', '2024-03-06 18:22:52', '2024-03-06 18:22:52'),
(748, 705, 'Yes, some respiratory infections do not confer lifelong immunity, and reinfection is possible.', '2024-03-06 18:22:55', '2024-03-06 18:22:55'),
(749, 706, 'Flu vaccines are designed to reduce the risk of influenza, a common cause of lower respiratory tract infections, and are generally effective in preventing severe cases.', '2024-03-06 18:22:57', '2024-03-06 18:22:57'),
(750, 707, 'While the primary mode of transmission is through respiratory droplets, it\'s advisable to practice good hand hygiene as viruses can be transmitted via contaminated surfaces.', '2024-03-06 18:23:00', '2024-03-06 18:23:00'),
(751, 708, 'Seek emergency medical attention if experiencing severe symptoms such as difficulty breathing, persistent chest pain, confusion, or high fever.', '2024-03-06 18:23:02', '2024-03-06 18:23:02'),
(752, 709, 'Yes, individuals with pre-existing conditions like chronic respiratory diseases or compromised immune systems may experience more severe complications.', '2024-03-06 18:23:05', '2024-03-06 18:23:05'),
(753, 710, 'Yes, the choice of antibiotics depends on the type of bacteria causing the infection. Common antibiotics include penicillin, azithromycin, or fluoroquinolones.', '2024-03-06 18:23:07', '2024-03-06 18:23:07'),
(754, 711, 'It\'s not recommended. Consult a healthcare professional for an accurate diagnosis and appropriate treatment.', '2024-03-06 18:23:09', '2024-03-06 18:23:09'),
(755, 712, 'In some cases, recurrent or severe lower respiratory tract infections can contribute to the development of chronic conditions like COPD.', '2024-03-06 18:23:13', '2024-03-06 18:23:13'),
(756, 713, 'Yes, maintaining good overall health, avoiding smoking, and adopting practices like regular exercise and a balanced diet can support a healthy respiratory system.', '2024-03-06 18:23:15', '2024-03-06 18:23:15'),
(757, 714, 'Prolonged exposure to pollutants like air particulate matter can increase the risk of respiratory infections.', '2024-03-06 18:23:19', '2024-03-06 18:23:19'),
(758, 715, 'Allergies may predispose individuals to respiratory infections by irritating the airways, making them more susceptible to pathogens.', '2024-03-06 18:23:22', '2024-03-06 18:23:22'),
(759, 716, 'Antiviral medications may be prescribed for certain viral infections like influenza to reduce the severity and duration of symptoms.', '2024-03-06 18:23:24', '2024-03-06 18:23:24'),
(760, 717, 'Infections during pregnancy can pose risks to both the mother and the developing fetus, making prompt medical attention essential.', '2024-03-06 18:23:26', '2024-03-06 18:23:26'),
(761, 718, 'Eating a nutritious diet with adequate fluids can support recovery. However, individual dietary needs may vary.', '2024-03-06 18:23:29', '2024-03-06 18:23:29'),
(762, 719, 'Overuse or misuse of antibiotics can contribute to antibiotic resistance, emphasizing the importance of using these medications as prescribed.', '2024-03-06 18:23:31', '2024-03-06 18:23:31'),
(763, 720, 'Yes, infections can cause inflammation of the pleura (the lining around the lungs), leading to pleurisy and chest pain.', '2024-03-06 18:23:33', '2024-03-06 18:23:33'),
(764, 721, 'Masks, when worn properly, can help reduce the spread of respiratory droplets and lower the risk of infection transmission', '2024-03-06 18:23:35', '2024-03-06 18:23:35'),
(765, 722, 'While rare, certain infections can be transmitted between animals and humans. Practicing good hygiene around pets is advisable.', '2024-03-06 18:23:39', '2024-03-06 18:23:39'),
(766, 723, 'Children may require specialized care, and parents should seek medical attention if their child exhibits symptoms of respiratory distress.', '2024-03-06 18:23:41', '2024-03-06 18:23:41'),
(767, 724, 'Yes, COVID-19 primarily affects the respiratory system, leading to lower respiratory tract symptoms in some cases.', '2024-03-06 18:23:45', '2024-03-06 18:23:45'),
(768, 725, 'Travel, especially to areas with high infection rates, can increase the risk of exposure. Precautions like vaccination may be advisable.', '2024-03-06 18:23:48', '2024-03-06 18:23:48'),
(769, 726, 'Yes, various organizations and online communities provide support and information for individuals recovering from respiratory infections.', '2024-03-06 18:23:50', '2024-03-06 18:23:50'),
(770, 727, 'Yes, atypical pathogens such as Mycoplasma pneumoniae and Chlamydophila pneumoniae can cause respiratory infections.', '2024-03-06 18:23:52', '2024-03-06 18:23:52'),
(771, 728, 'Corticosteroids may be prescribed in some cases to reduce inflammation, especially in severe cases or conditions like asthma exacerbations.', '2024-03-06 18:23:54', '2024-03-06 18:23:54'),
(772, 729, 'GERD can contribute to respiratory symptoms, and there may be an association between GERD and certain respiratory infections.', '2024-03-06 18:23:57', '2024-03-06 18:23:57'),
(773, 730, 'Individuals who have undergone organ transplantation may have a higher risk of infections, including lower respiratory tract infections, due to immunosuppressive medications.', '2024-03-06 18:23:59', '2024-03-06 18:23:59'),
(774, 731, 'While steam inhalation may help relieve symptoms, it does not replace medical treatment. \nConsult a healthcare professional for proper guidance.', '2024-03-06 18:24:02', '2024-03-06 18:24:02'),
(775, 732, 'Yes, infections may lead to the accumulation of fluid in the pleural space, causing pleural effusion.', '2024-03-06 18:24:04', '2024-03-06 18:24:04'),
(776, 733, 'Allergies may contribute to respiratory symptoms but may not directly increase susceptibility to infections.', '2024-03-06 18:24:06', '2024-03-06 18:24:06'),
(777, 734, 'Severe infections, particularly pneumonia, can progress to ARDS, a life-threatening condition characterized by severe lung inflammation.', '2024-03-06 18:24:09', '2024-03-06 18:24:09'),
(778, 735, 'The influenza vaccine helps prevent influenza, a common cause of lower respiratory tract infections, reducing the risk of severe illness and complications.', '2024-03-06 18:24:11', '2024-03-06 18:24:11'),
(779, 736, 'Severe respiratory infections may strain the cardiovascular system and, in rare cases, contribute to heart-related complications.', '2024-03-06 18:24:13', '2024-03-06 18:24:13'),
(780, 737, 'Immunocompromised individuals should consult their healthcare providers for personalized advice, which may include vaccination and avoidance of certain exposures.', '2024-03-06 18:24:15', '2024-03-06 18:24:15'),
(781, 738, 'Certain occupational exposures may increase the risk of respiratory infections. Proper safety measures and protective equipment are crucial.', '2024-03-06 18:24:18', '2024-03-06 18:24:18'),
(782, 739, 'Yes, some respiratory infections, like COVID-19, can cause temporary loss of taste and smell.', '2024-03-06 18:24:20', '2024-03-06 18:24:20'),
(783, 740, 'Prolonged exposure to high levels of air pollution can increase the risk of respiratory infections and exacerbate existing respiratory conditions.', '2024-03-06 18:24:22', '2024-03-06 18:24:22'),
(784, 741, 'The elderly may be more vulnerable, and prompt medical attention is crucial to prevent complications.', '2024-03-06 18:24:24', '2024-03-06 18:24:24'),
(785, 742, 'Chronic bronchitis is typically associated with long-term exposure to irritants, but severe respiratory infections may contribute to its development.', '2024-03-06 18:24:27', '2024-03-06 18:24:27'),
(786, 743, 'While some may find relief from certain complementary therapies, these should not replace medical treatment. Consult with a healthcare professional.', '2024-03-06 18:24:29', '2024-03-06 18:24:29'),
(787, 744, 'Individuals with autoimmune diseases may have a higher risk of infections due to the impact on the immune system.', '2024-03-06 18:24:31', '2024-03-06 18:24:31'),
(788, 745, 'Yes, symptoms like coughing and difficulty breathing may disrupt sleep during respiratory infections.', '2024-03-06 18:24:33', '2024-03-06 18:24:33'),
(789, 746, 'In some cases, there may be residual effects on lung function, particularly in individuals with severe or recurrent infections.', '2024-03-06 18:24:35', '2024-03-06 18:24:35'),
(790, 747, 'Wastewater testing can be used to monitor the presence of SARS-CoV-2 virus in untreated sewage.  \nSeveral countries are monitoring wastewater for SARS-CoV-2 virus, the virus that causes COVID-19, in a range of locations for different purposes. These include:\n\nearly warning for COVID-19 cases in a community;\ndetection of COVID-19 in locations with weak clinical surveillance;\nmonitoring circulation of the virus during outbreaks; or\nto trigger case-finding in locations where there are or may be suspected cases, such as quarantine hotels, university campuses or prisons.\n \n\nSome countries are also analysing historical wastewater samples for evidence of past SARS-CoV-2 circulation.', '2024-03-06 18:25:51', '2024-03-06 18:25:51'),
(791, 748, 'While fragments of SARS-CoV-2 genetic material (RNA) have been detected in the urine or faeces of some patients, there have been no reports to date of transmission of COVID-19 through urine or faeces. It remains important to protect yourself with personal protective equipment whenever contact with bodily fluids may occur and to clean your hands frequently\n\nInfectious SARS-CoV-2 has also not been detected in wastewater, suggesting transmission through contact or contamination with sewage is highly unlikely.\n\nGuidance for water, sanitation, hygiene and waste management can be found here.', '2024-03-06 18:25:54', '2024-03-06 18:25:54'),
(792, 749, 'Available evidence suggests that SARS-CoV-2 does not spread from water. Natural bodies of water and swimming pools do not appear to pose a risk for COVID-19 transmission even if polluted by faeces or wastewater. Pools are usually treated regularly to prevent contamination with a range of pathogens which could be present.\n\nHowever, crowded beaches or swimming pools do pose a risk of spreading COVID-19 through close contact with infected people or contaminated surfaces. To reduce the risk of this transmission, clean hands frequently, stay at least 1 metre away from others in and out of the water, and wear a mask when this distancing is not possible.', '2024-03-06 18:25:55', '2024-03-06 18:25:55'),
(793, 750, 'he risk coronaviruses pose to drinking water is considered to be low and SARS-CoV-2 virus has not been detected in drinking water supplies.\n\nDrinking water treatment methods neutralize infectious pathogens present in the water. SARS-CoV-2 is an enveloped virus, which means it has a fragile fatty envelope that is easily destroyed by the treatment process. Therefore, treated drinking water does not pose a risk for COVID-19.', '2024-03-06 18:25:56', '2024-03-06 18:25:56'),
(794, 751, 'Putting in place wastewater testing requires a good understanding of how environmental surveillance could add value in monitoring the spread of disease. The laboratory capacity needed to test wastewater samples may be limited in some settings. Clinical testing and epidemiological surveillance are higher priority strategies, as they lead directly to public health measures that can reduce transmission. Water, sanitation and hygiene (WASH) activities are also top public health priorities, such as ensuring access to hand washing facilities for all. The cost-benefit of wastewater testing relative to other public health measures should be carefully evaluated.', '2024-03-06 18:25:58', '2024-03-06 18:25:58'),
(795, 752, 'At present more evidence is needed regarding use of environmental surveillance for COVID-19. Wastewater monitoring may be considered as an optional and complementary approach to COVID-19 surveillance in addition to more standard clinical surveillance.  Scientists and public health authorities continue to assess effectiveness and validate testing methods in different settings. WHO encourages efforts to continue to explore potential uses of wastewater testing and recognizes its potential as an emerging tool for improving control of COVID-19.', '2024-03-06 18:25:59', '2024-03-06 18:25:59'),
(796, 753, 'The main priority is to keep the virus out of the food environment. Several key measures are required including upgrading of cleaning and sanitation measures, disinfecting surfaces and high-touch points, educating staff on the virus and how to protect themselves and others, reinforcing protocols such as physical distancing, hand washing, and improved security with people staying in their vehicles/sanitizing hands when handing out documents and other material.', '2024-03-06 18:26:00', '2024-03-06 18:26:00');
INSERT INTO `responses` (`id`, `intent_id`, `content`, `created_at`, `updated_at`) VALUES
(797, 754, 'Gloves may be used by food workers but must be changed frequently and hands must be washed between glove changes and when gloves are removed. Gloves must be changed after carrying out non-food related activities such as opening/closing doors by hand, and emptying bins. Food workers should be aware that wearing gloves can allow bacteria to build up on the surface of the hands, so hand washing is extremely important when gloves are removed to avoid subsequent contamination of food. Food workers should not touch their mouth, nose and eyes when wearing gloves.\n\nDisposable gloves can give a false sense of safety and should not be used in the food work environment as a substitute for hand washing. The COVID-19 virus can contaminate disposable gloves in the same way it can get onto workers hands and contact surfaces. Removal of disposable gloves can lead to contamination of hands. Wearing disposable gloves can give you a false sense of security and may result in staff not washing hands as frequently as required.\n\nHandwashing is a greater protective barrier to infection than wearing of disposable gloves. Food businesses need to ensure adequate sanitary facilities are provided and ensure food workers thoroughly and frequently wash their hands. Soap and water is adequate for hand washing. Hand sanitisers can be used as an additional measure but should not replace hand washing.\n\nWearing of Face Masks\n\nWHO advice on the use of masks in the context of COVID-19 should be followed. Face Masks do not have to be routinely used by food workers to protect against transmission of COVID-19. However, for some food processing activities, such as working in abattoirs or handling cooked, ready-to-eat foods, wearing face masks is a usual practice.\n\nWHO recommends that face masks should be used if a person is sick with symptoms of COVID-19 (especially coughing) or looking after someone with suspected or confirmed COVID-19.\n\nHowever, a food worker who is sick or who has symptoms of COVID-19 should not be allowed to work in grocery stores or other food businesses and should be excluded from work until free of symptoms or deemed fit for work by a medical doctor.', '2024-03-06 18:26:01', '2024-03-06 18:26:01'),
(798, 755, 'Staff who are feeling unwell should not report to work and should seek medical advice. However, in the event that a food worker becomes unwell in the workplace with typical symptoms of COVID-19, they should be removed to an area away from other people. If possible, find a room or area where they can be isolated behind a closed door, such as a staff office. If it is possible to open a window, do so for ventilation. Arrangements should be made for the unwell employee to be removed quickly from the food premise.\n\nThe employee who is unwell should follow national guidelines for reporting cases/suspect cases of COVID-19. Whilst they wait for medical advice or to be sent home, they should avoid any contact with other employees. They should avoid touching people, surfaces and objects and be advised to cover their mouth and nose with a disposable tissue when they cough or sneeze and put the tissue in a bag or pocket and then dispose of the tissue in a bin. If they do not have any tissues available, they should cough and sneeze into the crook of their elbow. If they need to go to the bathroom whilst waiting for medical assistance, they should use a separate bathroom, if available.\n\nAll surfaces that the infected employee has come into contact with must be cleaned. Alcohol based sanitizers/surface disinfectants should be used for cleaning purposes. In general, alcohol-based disinfectants (ethanol, propan-2-ol, propan-1-ol) have been shown to significantly reduce infectivity of enveloped viruses like COVID-19 virus, in concentrations of 70-80%. Common disinfectants with active ingredients based on quaternary ammonium compounds (QUATS) and chlorine would also have virucidal properties. All staff should wash their hands thoroughly for 20 seconds with soap and water after any contact with someone who is unwell with symptoms consistent with coronavirus infection.\n\nIf an employee is confirmed as a case of COVID-19 it will be necessary to notify all close contacts of the infected employee so they too can take measures to minimise further risk of spread. WHO definitions of a contact of a COVID-19 case can be found  here. Examples of contacts in the food businesses could include any employee who was in face-to-face or physical (i.e., touching) contact; any employee who was within 1 meter with the confirmed case; anyone who has cleaned up any bodily fluids without adequate PPE (e.g. gloves, overalls, protective clothing); employees in the same working team or workgroup as the confirmed case, and any employee living in the same household as a confirmed case.\n\nWHO recommends that contacts be quarantined for 14 days from the last point of exposure to the confirmed case.22 At a minimum, staff who have had close contact with the infected employee should be asked to stay at home for 14 days from the last time they had contact with the confirmed case and practice physical distancing. If they become unwell at any time within their 14-day isolation period and they test positive for COVID-19, they will become a confirmed case, and should be managed as such.\n\nStaff who have not had close contact with the original confirmed case should continue taking the usual precautions and attend work as usual. Organising employees into small teams or workgroups will help to minimise disruption to work processes in the event of an employee reporting sick with symptoms of COVID-19. Closure of the workplace is not recommended.\n\nMore detailed information can be found in COVID-19 and food safety: guidance for food businesses.\n\nFor more information on contacts of COVID-19 confirmed cases, see WHO guidance on surveillance and case definitions.', '2024-03-06 18:26:04', '2024-03-06 18:26:04'),
(799, 756, 'A return to work policy for staff who have been infected and recovered from COVID-19 should be in place. WHO recommends that a confirmed patient could be released from isolation once their symptoms resolve and they have two negative PCR tests at least 24 hours apart.  If testing is not possible, WHO recommends that a confirmed patient can be released from isolation 14 days after symptoms resolve.', '2024-03-06 18:26:05', '2024-03-06 18:26:05'),
(800, 757, 'Taking the temperature of food workers is not recommended. Fever is only one of the symptoms of COVID-19 and absence of fever alone is not a reliable indicator of wellness. As part of a food business ‘fitness to work’ guidelines, staff should report to management if they are sick with typical COVID-19 symptoms, particularly fever', '2024-03-06 18:26:06', '2024-03-06 18:26:06'),
(801, 758, 'Physical distancing, good personal hygiene with frequent hand washing, and application of general food hygiene measures are the most important precautions food workers should adopt. Physical distancing is very important to help slow the spread of coronavirus. This is achieved by minimising contact between potentially infected individuals and healthy individuals. Frequent hand washing with soap and water and use of hand sanitizers are also important in reducing the risk of transmission. All food businesses should follow the physical distancing and hand washing guidance of WHO.\n\nThe Codex Alimentarius Commission has adopted several practical guidelines on how to apply and implement best practices to ensure food hygiene (Codex General Principles of Food Hygiene, CXC 1- 1969), handle meats (Codex Code of Hygienic Practice for Meat, CXC 58 – 2005), and control viruses in foods (Guidelines for the Application of General Principles of Food Hygiene to the Control of Viruses in Food (CAC/GL 79-2012). Enhanced food safety practices at this time, such as those recommended in the Codex documents mentioned, will reduce the likelihood of contamination of foods with any pathogen and help lowering the public health burden caused by already established foodborne infections, reducing the stress on an already overburdened public health system.', '2024-03-06 18:26:08', '2024-03-06 18:26:08'),
(802, 759, 'WHO guidelines are to maintain at least 1 metre (3 feet) between fellow workers. Where the food production environment makes it difficult to do so, employers need to consider what measures to put in place to protect employees. Examples of practical measures to adhere to physical distancing guidance in the food processing environment are to:\n\nstagger workstations on either side of processing lines so that food workers are not facing one another,\nprovide personal protection equipment (PPE) such as face masks, hair nets, disposable gloves, clean overalls and slip reduction work shoes for staff. The use of PPE would be routine in high risk areas of food premises that produce ready-to-eat and cooked foods. When staff are dressed in PPE it is possible to reduce distance between workers,\nspace out workstations, which may require reduction in the speed of production lines,\nlimit the number of staff in a food preparation area at any one time,\norganise staff into working groups or teams to facilitate reduced interaction between groups, including during change of work shifts.', '2024-03-06 18:26:09', '2024-03-06 18:26:09'),
(803, 760, 'The handles of shopping trolleys or carts should be frequently cleaned using either alcohol-based sanitizers or chlorine-based disinfectants (sodium hypochlorite). Sanitizers, paper towels and trash bins should be placed outside the retail premises close to the trolley park for customers to use.', '2024-03-06 18:26:11', '2024-03-06 18:26:11'),
(804, 761, 'In general, alcohol-based disinfectants (ethanol, propan-2-ol, propan-1-ol) have been shown to significantly reduce infectivity of enveloped viruses like SARS-CoV-2, in concentrations of 70-80% with one-minute exposure time. Chlorine-based disinfectants (sodium hypochlorite) are effective for surface decontamination, as are disinfectants with active ingredients based on quaternary ammonium compounds (QUATS).', '2024-03-06 18:26:12', '2024-03-06 18:26:12'),
(805, 762, 'Currently, there is no evidence to suggest that food animals could be a possible route for transmission of COVID-19 to humans or that food animals can become infected by humans. Studies are underway to better understand the susceptibility of different animal species to the COVID-19 virus and to assess infection dynamics in susceptible animal species.', '2024-03-06 18:26:13', '2024-03-06 18:26:13'),
(806, 763, 'The general guidelines outlined in the Codex Code of Hygienic Practice for the Transport of Food in Bulk and Semi-Packed Food.1 should be followed, in addition to ensuring that employees delivering foods are free from COVID-19, coughing/sneezing etiquette is practiced by all involved in food transport and that frequent hand washing/sanitizing is practiced and staff practice physical distancing.', '2024-03-06 18:26:15', '2024-03-06 18:26:15'),
(807, 764, 'There is no evidence that COVID-19 is transmitted by water used in food processing.', '2024-03-06 18:26:16', '2024-03-06 18:26:16'),
(808, 765, 'The general guidelines outlined in the General Principles of Food Hygiene for food processing and manufacture premises should be followed. If a suspected or confirmed case of COVID-19 is identified in a food premises then there is a requirement to completely clean the area with a neutral detergent, followed by decontamination of surfaces using a disinfectant effective against viruses. All surfaces that the infected employee has come into contact with must be cleaned, including all surfaces and objects which are visibly contaminated with body fluids/respiratory secretions, and all potentially contaminated high-contact areas such as toilets, door handles, telephones. Alcohol based sanitizers/surface disinfectants should be used for cleaning purposes. In general, alcohol-based disinfectants (ethanol, propan-2-ol, propan-1-ol) have been shown to significantly reduce infectivity of enveloped viruses like SARS-CoV-2, in concentrations of 70-80% with one-minute exposure time. Chlorine-based disinfectants (sodium hypochlorite) are effective for surface decontamination, as are disinfectants with active ingredients based on quaternary ammonium compounds (QUATS).\n\nAll staff should wash their hands thoroughly for 20 seconds after any contact with someone who is unwell with symptoms consistent with coronavirus infection. Staff engaged in environmental cleaning should wear PPE when performing cleaning activities, such as overalls or uniform, single-use plastic aprons, gloves and a face mask. Protective clothing (e.g. uniforms, overalls, etc.) should be frequently washed at 60°C or above.', '2024-03-06 18:26:17', '2024-03-06 18:26:17'),
(809, 766, 'People at high risk for severe illness and death from COVID-19 may require care that cannot be provided at home. Contact your healthcare provider for advice.\n\nIf someone in your home is not at high risk for severe disease, tests positive for COVID-19, and has no symptoms or mild symptoms, they can usually be cared for safely at home. A quick guide to home care for people with COVID-19 infection can be found here. As you take care of others, don’t forget to take care of yourself too. Wear a medical mask when sharing a space with someone with COVID-19. Everyone should follow prevention measures:\n\nStay at least 1 metre away from the sick person;\nWhere possible, open windows to bring fresh air into the sick person’s room;\nCough or sneeze into a bent elbow;\nClean your hands frequently; and\nGet vaccinated as soon as it is your turn.\nMonitor the symptoms of the person with COVID-19 regularly, and call your healthcare provider immediately if you see any of these danger signs:\n\nDifficulty breathing\nChest pain\nConfusion\nLoss of speech or mobility', '2024-03-06 18:26:18', '2024-03-06 18:26:18'),
(810, 767, 'people aged 60 and older; \npeople who are pregnant and age 35 and older, and who are obese or have chronic medical conditions;\npeople of any age with chronic medical conditions (such as chronic cardiac, pulmonary, renal, metabolic, neurologic, liver or hematologic diseases); and \npeople with immunosuppressive conditions (such as HIV/AIDS, patients receiving chemotherapy or steroids, and people with cancer.)', '2024-03-06 18:26:19', '2024-03-06 18:26:19'),
(811, 768, 'People with symptoms should stay isolated for a minimum of 10 days after the first day they developed symptoms, plus another 3 days after the end of symptoms – when they are without fever and without respiratory symptoms.  \n\nPeople without symptoms should stay isolated for a minimum of 10 days after testing positive.', '2024-03-06 18:26:21', '2024-03-06 18:26:21'),
(812, 769, 'Both terms refer to people who do not have symptoms. The difference is that ‘asymptomatic’ refers to people who are infected but never develop any symptoms, while ‘pre-symptomatic’ refers to infected people who have not yet developed symptoms but go on to develop symptoms later.', '2024-03-06 18:26:22', '2024-03-06 18:26:22'),
(813, 770, 'There are many things you can do to keep yourself and your loved ones safe from COVID-19. Know your risks to lower risks. Follow these basic precautions:\n\nFollow local guidance: Check to see what national, regional and local authorities are advising so you have the most relevant information for where you are.\nKeep your distance: Stay at least 1 metre away from others, even if they don’t appear to be sick, since people can have the virus without having symptoms.\nWear a mask:  Wear a well-fitting three-layer mask, especially when you can’t physically distance, or if you’re indoors. Clean your hands before putting on and taking off a mask.\nRead our Masks and COVID-19 Q&A and watch our videos on how to wear and make masks.\nAvoid crowded places, poorly ventilated, indoor locations and avoid prolonged contact with others. Spend more time outdoors than indoors.\nVentilation is important: Open windows when indoors to increase the amount of outdoor air.\nAvoid touching surfaces, especially in public settings or health facilities, in case people infected with COVID-19 have touched them. Clean surfaces regularly with standard disinfectants.\nFrequently clean your hands with soap and water, or an alcohol-based hand rub. If you can, carry alcohol-based rub with you and use it often.\nCover your coughs and sneezes with a bent elbow or tissue, throwing used tissues into a closed bin right away. Then wash your hands or use an alcohol-based hand rub.\nGet vaccinated: When it’s your turn, get vaccinated. Follow local guidance and recommendations about vaccination.\nRead our public advice page for more information.', '2024-03-06 18:26:24', '2024-03-06 18:26:24'),
(814, 771, 'Yes, any situation in which people are in close proximity to one another for long periods of time increases the risk of transmission. Indoor locations, especially settings where there is poor ventilation, are riskier than outdoor locations. Activities where more particles are expelled from the mouth, such as singing or breathing heavily during exercise, also increase the risk of transmission.\n\nThe “Three C’s” are a useful way to think about this. They describe settings where transmission of the COVID-19 virus spreads more easily:\n\nCrowded places;\nClose-contact settings, especially where people have conversations very near each other;\nConfined and enclosed spaces with poor ventilation.  \nThe risk of COVID-19 spreading is especially high in places where these “3Cs” overlap.', '2024-03-06 18:26:25', '2024-03-06 18:26:25'),
(815, 772, 'Whether or not they have symptoms, infected people can be contagious and the virus can spread from them to other people.\n\nLaboratory data suggests that infected people appear to be most infectious just before they develop symptoms (namely 2 days before they develop symptoms) and early in their illness. People who develop severe disease can be infectious for longer.\n\nWhile someone who never develops symptoms can pass the virus to others, it is still not clear how frequently this occurs and more research is needed in this area.', '2024-03-06 18:26:26', '2024-03-06 18:26:26'),
(816, 773, 'No. Even if you have been vaccinated, it is important to continue practicing all other prevention measures too. Vaccination does not fully protect you against infection, and you may still spread the virus to others if you are infected. WHO recommends that you should still wear a medical mask and follow prevention measures when you are caring for someone with COVID-19 infection, even if you are vaccinated.\n\nEven though the COVID-19 vaccines are highly effective against serious disease and death, some people will still get infected or ill after they have been vaccinated. There is still a chance you could be infected with the virus and pass it on to other people around you who have not been vaccinated.', '2024-03-06 18:26:27', '2024-03-06 18:26:27'),
(817, 774, 'While some western, traditional or home remedies may provide comfort and alleviate symptoms of mild COVID-19, there are no medicines that have been shown to prevent or cure the disease. WHO does not recommend self-medication with any medicines, including antibiotics, as a prevention or cure for COVID-19. However, there are several ongoing clinical trials of both western and traditional medicines. WHO is coordinating efforts to develop vaccines and medicines to prevent and treat COVID-19 and will continue to provide updated information as soon as research results become available.', '2024-03-06 18:26:30', '2024-03-06 18:26:30'),
(818, 775, 'There is a lot that you can do to prepare for COVID-19 in your community.\n\nInform yourself of the special measures taken in your community as well as the services and the sources of reliable information that are availableduring the health emergency (e.g. home deliveries, psychosocial support, health ministry website, alternative access to your pension).\n \n\nCreate a list of the basic supplies that you will need for at least two weeks and try to get these delivered where possible (e.g. non-perishable food items, household products, batteries for assistive devices you may use, and prescription medicines). Alternatively, ask family members, caregivers, neighbours or community leaders to help with ordering and/or delivery of groceries or prescription medicines. Make sure that your mobile phone credit is topped up and identify a safe place to charge your phone regularly so that you can keep in contact with family and friends and reach emergency services if needed.  \n \n\nMake a list of emergency numbers (e.g. COVID-19 local helpline, nearby hospital and health emergencies numbers, hotline for victims of abuse, psychosocial support hotline) and support contacts (e.g. family members and friends, main caregiver, community care worker, associations of older persons). If you live alone, you may wish to share this list and ask your neighbours, family or caregiver to be in touch regularly, for example, by phone or video chat.\n \n\nDiscuss with your health-care worker how your health needs can be addressed during COVID-19. This may involve postponing non-urgent appointments, talking to your doctor or health-care worker by phone or video chat instead of in person and/or revising your vaccination schedule.\n \n\nIf you rely on the support provided by a caregiver, identify with him or her another person that you trust to support your daily living and care needs in case your caregiver is unable to continue to provide care. Together, you can note down all the personal care and assistance that you require and how it should be provided and share it with this trusted person so that they can be ready to provide care in case of need. \n \n\nIf you are the primary caregiver of another person who is care dependent (e.g. grandchild, older spouse, child with a disability), identify a person that you and the person that you care for trust to take on your caregiving responsibilities in case you fall sick. Local authorities or volunteer organizations that provide support in these situations in your community might be able to help.\n \n\nIf multiple people live in your home, if possible prepare a separate room or space in your home so that anyone showing symptoms compatible with COVID-19 can be isolated from others. If you do not have space for self-isolation, contact your community leaders or local health authorities to see if there is community space that could help you or other household members self-isolate.\n \n\nThink about what matters most to you regarding care and support, including medical treatment, in case something happens to you and you are unable to make your own decisions. If you want to develop an advanced care plan to record your treatment and care wishes, you can talk about it with your health-care worker or someone that you trust. You can write down your wishes and  share them with people you trust.', '2024-03-06 18:26:31', '2024-03-06 18:26:31'),
(819, 776, 'You can follow these 10 steps to keep healthy during the COVID-19 pandemic.\n\nKeep to your regular routines as much as possible and maintain a daily schedule for yourself including sleeping, meals and activities.\n \n\nStay socially connected. Speak to loved ones and people you trust every day or as much as possible, using the telephone, video-calls or messaging, through writing letters, etc. Use this time to share your feelings and to do common hobbies together.\n \n\nBe physically active every day. Reduce long periods of sitting and set up a daily routine that includes at least 30 minutes of exercise. Make sure to do activities that are safe and appropriate for your level of physical fitness as indicated by your health-care worker. You can use household chores as a way to keep physically active, follow an on-line class (e.g. Tai Chi, yoga) or choose your favourite music and dance to that.\n \n\nDrink water and eat healthy and well-balanced meals. This will keep you hydrated, help strengthen your immune system and lower the risk of chronic illnesses and infectious diseases.  For nutrition advice click here.\n \n\nAvoid smoking and drinking alcohol. Smokers are likely to be more vulnerable to COVID-19 because smoking can affect lung capacity and because the act of smoking increases the possibility of transmission of virus from hand to mouth. Drinking alcohol not only disturbs your sleep but may also increase your risk of falls, weaken your immune system, and interact with any prescription medicines that you are taking. Limit the amount of alcohol you drink or don’t drink alcohol at all.\n \n\nTake breaks from news coverage about COVID-19 as prolonged exposure can cause feelings of anxiety and despair. Seek updates at specific times of the day from a reliable source like the WHO website (click here) or national or local channels in order to help you distinguish facts from rumours or scams.\n \n\nEngage in hobbies and activities that you enjoy or learn something new. Cognitive exercise such as reading a book or doing crosswords/Sudoku will keep your mind active and distract you from worrying. You can also use this time to keep a well-being diary (click here for an example.)\n \n\nIf you have ongoing health conditions, take your prescribed medicines and follow the advice of your health-care worker regarding any health visits or phone consultations.\n \n\nIf you have an emergency medical condition that is not related to COVID-19, contact health emergencies immediately and ask what you should do next. Follow the instructions of the health-care worker.\n \n\nIf stress, worry, fear or sadness get in the way of your daily activities for several days in a row, seek psychosocial support from available services in your community.  If you are subject to abuse or violence from others, tell someone you trust and report this to the relevant authorities. You can also seek support from dedicated helplines that may be available in your country.', '2024-03-06 18:26:36', '2024-03-06 18:26:36'),
(820, 777, 'If you present symptoms related to COVID-19, seek medical advice. Call by phone first if possible and give information about pre-existing health conditions and medicines that you are taking. Follow the instructions of the health-care worker and monitor your symptoms regularly.\n \n\nIf you have difficulty breathing, contact health emergencies immediately as this may be due to a respiratory infection. Call by phone first if possible to learn what to do next.\n \n\nIf you live with others, make sure that you isolate yourself as soon as you suspect infectionby using the space that you identified in advance. You and other members of the household should also wear a medical mask as much as possible if these are available.\n\n\nIf you live with others and home care for COVID-19 is advised by your health-care worker, other household members should follow available guidance on home care for patients with COVID-19 presenting with mild symptoms and management of their contacts\n\nIf you live alone and home care for COVID-10 is advised by your health-care worker, ask your family, friends, neighbours, health-care worker or a local volunteer organisation to check in on you regularly and to provide support as needed following existing guidance for caregivers', '2024-03-06 18:26:37', '2024-03-06 18:26:37'),
(821, 778, 'Losing someone close to you is always hard, whatever the cause. During these extraordinary circumstances, when your usual routine may be disrupted and when funerals may not be permitted, it may be even harder. Following this advice may help.\n\nDo not criticise yourself for how you feel. When you lose a family member or friend to COVID-19, you may experience a range of emotions.  You may also have difficulty sleeping or low levels of energy. All these feelings are normal and there is no right or wrong way to feel grief. \nAllow yourself time to process your emotions in response to your loss. You may think that the sadness and pain that you feel will never go away, but in most cases, these feelings lessen over time. \nTalk regularly with people that you trust about your feelings.\n \n\nKeep to your routines as much as you feel able and try to focus on activities that bring you joy.\n \n\nSeek advice and comfort from people that you trust (e.g. religious/faith leaders, mental health workers or other trusted members of your community) while maintaining physical distance (e.g. attending virtual mass).   \n \n\nThink of alternative ways to say goodbye to the person who passed away such as writing a letter or dedicating a drawing to your loved one. These are small actions that can help you cope with grief and loss, particularly in situations where funeral services are not permitted', '2024-03-06 18:26:39', '2024-03-06 18:26:39'),
(822, 779, 'If you have been in contact with someone suspected or confirmed with COVID-19, or are feeling unwell, do not visit any health or long-term care facility.\n\nFollow the facility guidelines on any visit requirements, including screening and wearing a mask.\n\nClean your hands before entering and try to keep at least a 1 metre distance from others.\n\nIf you are 60 or over, or have a chronic condition like heart disease, take extra precautions by wearing a medical mask during your visit.', '2024-03-06 18:26:41', '2024-03-06 18:26:41'),
(823, 780, '‘Serology’ is the study of antibodies in blood serum.', '2024-03-06 18:26:42', '2024-03-06 18:26:42'),
(824, 781, '‘Molecular testing’, including polymerase-chain reaction (PCR) testing, detects genetic material of the virus and so can detect if a person is currently infected with SARS-CoV-2.\n\n‘Serologic testing’ detects antibodies against a virus, measuring the amount of antibodies produced following infection, thereby detecting if a person has previously been infected by SARS-CoV-2. Serologic tests should not be used to diagnose acute SARS-CoV-2 infection, as antibodies develop a few weeks after infection.', '2024-03-06 18:26:44', '2024-03-06 18:26:44'),
(825, 782, 'When a new disease, like COVID-19 emerges, initial surveillance and testing strategies focus initially on patients with severe disease and the use of molecular testing to measure acute infections, as these are the individuals who seek and require health care. This can often miss the fraction of mild or asymptomatic infections that do not require medical attention, and as such, the full extent of infection is not known early in an outbreak.\n\nSerologic testing helps retrospectively determine the size of an outbreak or extent of infection in a population under study. Seroprevalence studies give a more complete picture of how much of a population has been infected with SARS-CoV-2 and will capture unrecognized cases not identified through routine or active surveillance.', '2024-03-06 18:26:48', '2024-03-06 18:26:48'),
(826, 783, 'To date, there are some reports of individuals who have been reinfected with SARS-CoV-2.  There are likely to be more examples of reinfection reported and scientists are working to understand the role of the immune response in the first and second infection. WHO is working with scientists to understand each occurrence of reinfection and the antibody response during the first and subsequent infections.', '2024-03-06 18:26:52', '2024-03-06 18:26:52'),
(827, 784, 'Herd immunity\', also known as \'population immunity\', is the indirect protection from an infectious disease that happens when a population is immune either through vaccination or immunity developed through previous infection. WHO supports achieving \'herd immunity\' through vaccination, not by allowing a disease to spread through any segment of the population, as this would result in unnecessary cases and deaths.', '2024-03-06 18:26:56', '2024-03-06 18:26:56'),
(828, 785, 'While children are as likely to get COVID-19 as adults, kids are less likely to become severely ill. Up to 50% of children and adolescents might have COVID-19 with no symptoms. However, some children with COVID-19 need to be hospitalized, treated in the intensive care unit or placed on a ventilator to help them breathe.', '2024-03-06 18:26:58', '2024-03-06 18:26:58'),
(829, 786, 'Certain medical conditions might increase a child\'s risk of serious illness with COVID-19, including:\n\nObesity\nDiabetes\nAsthma\nCongenital heart disease\nGenetic conditions\nConditions affecting the nervous system or metabolism', '2024-03-06 18:26:59', '2024-03-06 18:26:59'),
(830, 787, 'Parents or guardians should immediately seek urgent or emergency medical care if they notice these warning signs in a child:\n\nDifficulty breathing or catching his or her breath\nInability to keep down any liquids\nNew confusion or inability to awaken\nBluish lips', '2024-03-06 18:27:00', '2024-03-06 18:27:00'),
(831, 788, 'Generally, COVID-19 symptoms in kids and babies are milder than those in adults, and some infected children may not have any signs of being sick at all.\n\nCOVID-19 symptoms for children and adults include:\n\nCough\nFever or chills\nShortness of breath or difficulty breathing\nMuscle or body aches\nSore throat\nNew loss of taste or smell\nDiarrhea\nHeadache\nNew fatigue\nNausea or vomiting\nCongestion or runny nose\nSome symptoms of COVID-19 and the flu are shared and it may be difficult to determine which of either might be present.\n\n“People with flu-like symptoms should be careful about exposing other people and should get tested to see if they have COVID,” says Milstone. “Testing for influenza virus can also be important, as available medicines can help reduce symptoms in those with influenza.”\n\nFever and cough are common COVID-19 symptoms in both adults and children; shortness of breath is more likely to be seen in adults. Children can have pneumonia, with or without obvious symptoms. They can also experience sore throat, excessive fatigue or diarrhea.\n\nHowever, serious illness in children with COVID-19 is possible, and parents should stay alert if their child is diagnosed with, or shows signs of, the disease.', '2024-03-06 18:27:02', '2024-03-06 18:27:02'),
(832, 789, 'Multisystem inflammatory syndrome in children (MIS-C) is a rare condition associated with SARS-CoV-2 (the virus that causes COVID-19), which usually occurs 2-6 weeks after a child is infected with SARS-CoV-2. MIS-C causes different body parts to become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal tract. MIS-C can be serious, even deadly, but most children who are diagnosed with this condition get better with medical care.', '2024-03-06 18:27:03', '2024-03-06 18:27:03'),
(833, 790, 'The best way to prevent MIS-C is to protect against getting SARS-CoV-2 infection, including staying up to date with COVID-19 vaccines and other prevention actions.', '2024-03-06 18:27:04', '2024-03-06 18:27:04'),
(834, 791, 'Contact your child’s doctor, nurse, or clinic right away if your child is showing symptoms of MIS-C:', '2024-03-06 18:27:06', '2024-03-06 18:27:06'),
(835, 792, 'Ongoing fever PLUS more than one of the following:\nStomach pain\nBloodshot eyes\nDiarrhea\nDizziness or lightheadedness (signs of low blood pressure)\nSkin rash\nVomiting', '2024-03-06 18:27:07', '2024-03-06 18:27:07'),
(836, 793, 'Lifestyle changes can help improve symptoms of COPD.\n\nQuit smoking or vaping. This is the most important thing to do. Even if you have been smoking for many years, quitting can still help.\n\nAvoid second-hand smoke or smoke from indoor cooking fires.\n\nStay physically active.\n\nProtect yourself from lung infections:\n\nGet a flu vaccine every year.\nGet the pneumonia vaccine.\nGet all available COVID-19 vaccines and make sure you have had the latest boosters.\nPeople living with COPD must be given information about their condition, treatment and self-care to help them to stay as active and healthy as possible.', '2024-03-06 18:27:08', '2024-03-06 18:27:08'),
(837, 794, 'Several processes can cause the airways to become narrow and lead to COPD. There may be destruction of parts of the lung, mucus blocking the airways, and inflammation and swelling of the airway lining.\n\nCOPD develops gradually over time, often resulting from a combination of risk factors:\n\ntobacco exposure from active smoking or passive exposure to second-hand smoke;\noccupational exposure to dusts, fumes or chemicals;\nindoor air pollution: biomass fuel (wood, animal dung, crop residue) or coal is frequently used for cooking and heating in low- and middle-income countries with high levels of smoke exposure; \nearly life events such as poor growth in utero, prematurity, and frequent or severe respiratory infections in childhood that prevent maximum lung growth;\nasthma in childhood; and\na rare genetic condition called alpha-1 antitrypsin deficiency, which can cause COPD at a young age.', '2024-03-06 18:27:09', '2024-03-06 18:27:09'),
(838, 795, 'People with COPD are more prone to chest infections and pneumonia and occasionally \nrequire admission to hospital for intensive treatment of their disease. \nDuring these episodes they may have a low  oxygen level in the blood and develop swollen ankles because of inadequacy of the pumping action of the heart.', '2024-03-06 18:27:11', '2024-03-06 18:27:11'),
(839, 796, 'Unfortunately there is a belief among smokers that once they have lung damage there is nothing that can be done. \nWhile it is true that little can be done to restore destroyed lung tissue, stopping smoking at any stage in the \nprogression of COPD will improve both quality of life and length of life. Once you stop smoking you gradually reduce \nyour chances of getting COPD. For sufferers of COPD, stopping smoking can relieve breathlessness and other \nsymptoms and reduce the rate at which the disease progresses.', '2024-03-06 18:27:12', '2024-03-06 18:27:12'),
(840, 797, 'Each time you breathe, air is drawn, via the nose and mouth, into the windpipe or trachea. The windpipe is a tube \nabout 10-12 centimetres long in adults and splits into two smaller tubes that go to the left and right lungs. Each of \nthese tubes is called a bronchus. They divide into smaller and smaller airways, and together they are called bronchi. \nThe air passes down the bronchi in each lung, dividing another 15-25 times into smaller and smaller airways called \nbronchioles. The smallest airways end in tiny air sacs called alveoli. It is here that the oxygen from the air is absorbed \ninto tiny blood vessels called capillaries which criss-cross the walls of the alveoli. \nOnce it passes into the blood stream, oxygen is carried all around the body, and at the same time a waste product, \ncalled carbon dioxide, comes out of the capillaries back into the alveoli ready to be breathed out. If you could look \ninside your lungs, you would see a mass of fine tubes and air pockets, all looking rather like a giant sponge.', '2024-03-06 18:27:13', '2024-03-06 18:27:13'),
(841, 798, 'Chronic Obstructive Pulmonary Disease is commonly known as chronic bronchitis and emphysema, both long-term \nlung diseases that cause shortness of breath. Each condition can occur alone, but many people struggle with a \ncombination of the two problems.', '2024-03-06 18:27:14', '2024-03-06 18:27:14'),
(842, 799, 'Yes! It is important to stay active if you have COPD. \nAvoiding activity  may make your breathlessness worse and make flare-ups more serious. \nRegular physical exercise helps to  improve your breathing, increase  your energy levels, and improve our immune system and overall health.\nTalk to your GP or health professional about what activities are right for you. They can help you find activities to suit your symptoms \nand capabilities', '2024-03-06 18:27:15', '2024-03-06 18:27:15'),
(843, 800, 'Keep an eye on your symptoms and know when to see your doctor.\nIf your COPD suddenly gets worse (flare_x0002_up or exacerbation), try to notice this and understand why it has happened.\nIf you have any sudden changes in your symptoms, or new symptoms which you have not experienced before, you should tell \nyour doctor or health professional straight away. Early treatment can help you to avoid hospital treatment.\nMeet with your doctor or nurse at least once a year to talk about how you are managing your COPD', '2024-03-06 18:27:17', '2024-03-06 18:27:17'),
(844, 801, 'Tuberculosis is caused by a bacterium called Mycobacterium tuberculosis.', '2024-04-18 09:44:10', '2024-04-18 09:44:10'),
(845, 802, 'TB can affect the reproductive organs', '2024-04-18 09:44:11', '2024-04-18 09:44:11'),
(846, 803, 'Latent TB is diagnosed through a tuberculin skin test (TST) or interferon-gamma release assays (IGRAs), which detect the body\'s immune response to TB bacteria.', '2024-04-18 09:44:12', '2024-04-18 09:44:12'),
(847, 804, 'Active TB is diagnosed through a combination of symptoms, chest X-rays, sputum tests, and other diagnostic tests.', '2024-04-18 09:44:13', '2024-04-18 09:44:13'),
(848, 805, 'DOT is a strategy for ensuring that patients take their TB medication as prescribed by observing them directly when they take their medication.', '2024-04-18 09:44:15', '2024-04-18 09:44:15'),
(849, 806, 'TB is primarily spread through the air and is not considered a sexually transmitted infection (STI). However, close and prolonged contact with an infected person can increase the risk of transmission.', '2024-04-18 09:44:16', '2024-04-18 09:44:16'),
(850, 807, 'TB is not easily transmitted through casual contact such as sharing utensils or kissing, but close and prolonged contact with an infected person can increase the risk of transmission.', '2024-04-18 09:44:17', '2024-04-18 09:44:17'),
(851, 808, 'In some cases, adults may receive the BCG vaccine if they are at high risk of TB infection or if they live in areas with high TB prevalence.', '2024-04-18 09:44:18', '2024-04-18 09:44:18'),
(852, 809, 'The BCG vaccine is used in many countries, but its use varies depending on TB prevalence and vaccination policies.', '2024-04-18 09:44:19', '2024-04-18 09:44:19'),
(853, 810, 'No, the BCG vaccine\'s effectiveness wanes over time, and it does not provide lifelong immunity against TB.', '2024-04-18 09:44:21', '2024-04-18 09:44:21'),
(854, 811, 'Yes, the Bacillus Calmette-Guérin (BCG) vaccine is used to prevent severe forms of TB in children.', '2024-04-18 09:44:23', '2024-04-18 09:44:23'),
(855, 812, 'TB and HIV/AIDS often coexist, as HIV weakens the immune system, making individuals more susceptible to TB infection. However, TB itself does not cause AIDS.', '2024-04-18 09:44:24', '2024-04-18 09:44:24'),
(856, 813, 'Tuberculosis and HIV/AIDS often coexist, as HIV weakens the immune system, making individuals more susceptible to tuberculosis infection. However, tuberculosis itself does not cause AIDS.', '2024-04-18 09:44:25', '2024-04-18 09:44:25'),
(857, 814, 'Yes, TB can be fatal if left untreated or if treatment is not completed as prescribed.', '2024-04-18 09:44:26', '2024-04-18 09:44:26'),
(858, 815, 'TB itself does not cause lung cancer, but chronic inflammation and scarring of the lungs due to TB infection may increase the risk of developing lung cancer.', '2024-04-18 09:44:29', '2024-04-18 09:44:29'),
(859, 816, 'Tuberculosis (TB) is primarily an airborne disease, meaning it is transmitted through the air when an infected person coughs, sneezes, or talks, releasing respiratory droplets containing the TB bacteria. TB bacteria are not typically found in feces (poop), and transmission through fecal-oral route is not a common mode of transmission for TB. However, in rare cases, TB bacteria can spread through contaminated feces if there is direct contact with fecal matter containing active TB bacteria and mucous membranes (such as the mouth or eyes) or through ingestion of contaminated food or water. This mode of transmission is uncommon compared to respiratory transmission, which is the main route of TB transmission.', '2024-04-18 09:44:33', '2024-04-18 09:44:33'),
(860, 817, 'Tuberculosis (TB) is primarily an airborne disease, meaning it is transmitted through the air when an infected person coughs, sneezes, or talks, releasing respiratory droplets containing the TB bacteria. TB bacteria are not typically found in feces (poop), and transmission through fecal-oral route is not a common mode of transmission for TB. However, in rare cases, TB bacteria can spread through contaminated feces if there is direct contact with fecal matter containing active TB bacteria and mucous membranes (such as the mouth or eyes) or through ingestion of contaminated food or water. This mode of transmission is uncommon compared to respiratory transmission, which is the main route of TB transmission.', '2024-04-18 09:44:34', '2024-04-18 09:44:34'),
(861, 818, 'Tuberculosis (TB) is primarily an airborne disease, meaning it is transmitted through the air when an infected person coughs, sneezes, or talks, releasing respiratory droplets containing the TB bacteria. TB bacteria are not typically found in feces (poop), and transmission through fecal-oral route is not a common mode of transmission for TB. However, in rare cases, TB bacteria can spread through contaminated feces if there is direct contact with fecal matter containing active TB bacteria and mucous membranes (such as the mouth or eyes) or through ingestion of contaminated food or water. This mode of transmission is uncommon compared to respiratory transmission, which is the main route of TB transmission.', '2024-04-18 09:44:35', '2024-04-18 09:44:35'),
(862, 819, 'Yes, TB can recur after treatment, especially if the initial treatment was not completed or if the person\'s immune system is compromised. This is known as recurrent TB.', '2024-04-18 09:44:36', '2024-04-18 09:44:36'),
(863, 820, 'Yes, TB can affect the gastrointestinal tract, leading to conditions such as gastrointestinal TB or tuberculous peritonitis. Gastrointestinal TB requires prompt diagnosis and treatment to prevent complications.', '2024-04-18 09:44:37', '2024-04-18 09:44:37'),
(864, 821, 'Yes, TB can affect the kidneys, leading to conditions such as renal TB or tuberculous nephritis. Renal TB requires prompt diagnosis and treatment to prevent complications.', '2024-04-18 09:44:38', '2024-04-18 09:44:38'),
(865, 822, 'Yes, TB can affect the kidneys, leading to conditions such as renal TB or tuberculous nephritis. Renal TB requires prompt diagnosis and treatment to prevent complications.', '2024-04-18 09:44:39', '2024-04-18 09:44:39'),
(866, 823, 'Yes, TB can affect the liver, leading to conditions such as hepatic TB or miliary TB. Liver involvement in TB requires prompt diagnosis and treatment to prevent complications.', '2024-04-18 09:44:40', '2024-04-18 09:44:40'),
(867, 824, 'Yes, TB can affect the liver, leading to conditions such as hepatic TB or miliary TB. Liver involvement in TB requires prompt diagnosis and treatment to prevent complications.', '2024-04-18 09:44:41', '2024-04-18 09:44:41'),
(868, 825, 'Yes, TB can affect the heart, leading to conditions such as pericarditis or myocarditis. Cardiac TB requires prompt diagnosis and treatment to prevent complications.', '2024-04-18 09:44:42', '2024-04-18 09:44:42'),
(869, 826, 'Yes, TB can affect the heart, leading to conditions such as pericarditis or myocarditis. Cardiac TB requires prompt diagnosis and treatment to prevent complications.', '2024-04-18 09:44:43', '2024-04-18 09:44:43'),
(870, 827, 'Yes, diabetes increases the risk of developing tuberculosi and can also worsen TB outcomes. Similarly, TB can worsen glycemic control in people with diabetes.', '2024-04-18 09:44:44', '2024-04-18 09:44:44'),
(871, 828, 'While there are no specific dietary restrictions for TB patients, maintaining a balanced diet rich in nutrients can support overall health and aid in recovery.', '2024-04-18 09:44:47', '2024-04-18 09:44:47'),
(872, 829, 'While there are no specific dietary restrictions for TB patients, maintaining a balanced diet rich in nutrients can support overall health and aid in recovery.', '2024-04-18 09:44:52', '2024-04-18 09:44:52'),
(873, 830, 'Common side effects of TB medications include nausea, vomiting, diarrhea, loss of appetite, abdominal pain,discolored urine, itchy skin', '2024-04-18 09:44:53', '2024-04-18 09:44:53'),
(874, 831, 'XDR-TB is a form of TB that is resistant to isoniazid, rifampicin, and at least one fluoroquinolone, plus at least one of three injectable second-line drugs.', '2024-04-18 09:44:57', '2024-04-18 09:44:57'),
(875, 832, 'Use pyrazinamide and any other Group 1 agent that may be effective. Use an injectable agent to which the strain is susceptible and consider an extended duration of use ( atleast 12 months or)', '2024-04-18 09:44:58', '2024-04-18 09:44:58'),
(876, 833, 'XDR-TB is more difficult to treat and often requires the use of alternative drugs that may be less effective and more toxic.', '2024-04-18 09:44:59', '2024-04-18 09:44:59'),
(877, 834, 'Yes, HIV weakens the immune system, making individuals more susceptible to TB infection. TB is a leading cause of death among people living with HIV/AIDS.', '2024-04-18 09:45:00', '2024-04-18 09:45:00'),
(878, 835, 'Yes, pregnant women can get TB, but it can be more severe during pregnancy due to changes in the immune system. Prompt diagnosis and treatment are essential to protect both the mother and the baby.', '2024-04-18 09:45:03', '2024-04-18 09:45:03'),
(879, 836, 'Totally drug resistant tuberculosis', '2024-04-18 09:45:05', '2024-04-18 09:45:05'),
(880, 837, 'Drug-resistant TB occurs when the bacteria become resistant to the antibiotics used to treat it. This can happen if the prescribed drugs are not taken properly or if the treatment regimen is not completed.', '2024-04-18 09:45:08', '2024-04-18 09:45:08');
INSERT INTO `responses` (`id`, `intent_id`, `content`, `created_at`, `updated_at`) VALUES
(881, 838, 'When the prescribed drugs are not taken properly or if the treatment regimen is not complete.', '2024-04-18 09:45:11', '2024-04-18 09:45:11'),
(882, 839, 'Treatment for drug-resistant TB often involves a longer course of more potent antibiotics, sometimes including injectable medications, and may require hospitalization.', '2024-04-18 09:45:13', '2024-04-18 09:45:13'),
(883, 840, 'Yes, malnutrition weakens the immune system, increasing the risk of TB infection and worsening TB outcomes. TB, in turn, can contribute to malnutrition due to decreased appetite, weight loss, and nutrient malabsorption.', '2024-04-18 09:45:14', '2024-04-18 09:45:14'),
(884, 841, 'Malnutrition weakens the immune system, increasing the risk of TB infection and worsening TB outcomes. TB, in turn, can contribute to malnutrition due to decreased appetite, weight loss, and nutrient malabsorption.', '2024-04-18 09:45:18', '2024-04-18 09:45:18'),
(885, 842, 'Yes, TB can pose risks during pregnancy, including an increased risk of maternal complications, such as preterm birth, low birth weight, and maternal mortality, as well as risks to the fetus, such as intrauterine growth restriction and congenital TB infection.', '2024-04-18 09:45:19', '2024-04-18 09:45:19'),
(886, 843, 'Yes, tuberculosis can affect the spine, leading to a condition known as spinal tuberculosis or Pott\'s disease. It can cause symptoms such as back pain, spinal deformity, and neurological complications if left untreated.', '2024-04-18 09:45:20', '2024-04-18 09:45:20'),
(887, 844, 'Yes, TB can affect the male reproductive organs, leading to conditions such as epididymitis, orchitis, or obstructive azoospermia, which can contribute to infertility if left untreated.', '2024-04-18 09:45:21', '2024-04-18 09:45:21'),
(888, 845, 'Yes, TB can affect the male reproductive organs, leading to conditions such as epididymitis, orchitis, or obstructive azoospermia, which can contribute to infertility if left untreated.', '2024-04-18 09:45:22', '2024-04-18 09:45:22'),
(889, 846, 'Yes, TB can affect the female reproductive organs, leading to conditions such as tubal blockage, pelvic inflammatory disease (PID), or genital tuberculosis, which can contribute to infertility if left untreated.', '2024-04-18 09:45:23', '2024-04-18 09:45:23'),
(890, 847, 'Can tuberculosis cause lung fibrosis?', '2024-04-18 09:45:25', '2024-04-18 09:45:25'),
(891, 848, 'Yes, severe cases of tuberculosis, particularly disseminated or miliary TB, can lead to sepsis, a life-threatening condition characterized by systemic inflammation and organ dysfunction in response to infection.', '2024-04-18 09:45:26', '2024-04-18 09:45:26'),
(892, 849, 'Yes, chronic fatigue is a common symptom of active TB disease, often accompanied by other symptoms such as weakness, malaise, and decreased appetite.', '2024-04-18 09:45:28', '2024-04-18 09:45:28'),
(893, 850, 'Yes, smoking increases the risk of developing tuberculoisis and worsens tuberculosis outcomes. Smokers are more likely to develop active TB disease, have more severe TB symptoms, and experience poorer treatment outcomes compared to non-smokers.', '2024-04-18 09:45:29', '2024-04-18 09:45:29'),
(894, 851, 'TB remains a significant global health threat, with an estimated 10 million new cases and 1.5 million deaths annually worldwide.', '2024-04-18 09:45:38', '2024-04-18 09:45:38'),
(895, 852, 'Tuberculosis can be classified into two main types: pulmonary TB, which affects the lungs, and extrapulmonary TB, which affects other parts of the body, such as the lymph nodes, bones, joints, kidneys, and brain.', '2024-04-18 09:45:40', '2024-04-18 09:45:40'),
(896, 853, 'Yes, TB is more prevalent in regions with limited access to healthcare, overcrowded living conditions, poor nutrition, and high rates of HIV/AIDS. High-burden regions include sub-Saharan Africa, Southeast Asia, and parts of Eastern Europe.', '2024-04-18 09:45:48', '2024-04-18 09:45:48'),
(897, 854, 'Yes, TB can affect the lymph nodes, leading to a condition known', '2024-04-18 09:45:51', '2024-04-18 09:45:51'),
(898, 855, 'Excessive collagen deposition and fibrotic scarring can occur through the course of TB disease and treatment', '2024-04-18 09:45:52', '2024-04-18 09:45:52'),
(899, 856, 'Community-acquired pneumonia (CAP) refers to pneumonia acquired outside of healthcare settings, such as at home, work, or in the community.', '2024-04-18 09:46:01', '2024-04-18 09:46:01'),
(900, 857, 'Hospital-acquired pneumonia (HAP) refers to pneumonia that develops 48 hours or more after admission to the hospital and was not present at the time of admission.', '2024-04-18 09:46:03', '2024-04-18 09:46:03'),
(901, 858, 'Ventilator-associated pneumonia (VAP) is a type of hospital-acquired pneumonia that occurs in patients who are on mechanical ventilation.', '2024-04-18 09:46:07', '2024-04-18 09:46:07'),
(902, 859, 'Pneumonia can range from mild to severe, and its severity depends on factors such as the type of pathogen causing the infection, the individual\'s overall health, and promptness of treatment. Severe cases can be life-threatening, especially in vulnerable populations.', '2024-04-18 09:46:09', '2024-04-18 09:46:09'),
(903, 860, 'The contagiousness of pneumonia depends on its underlying cause. Bacterial and viral pneumonia can be contagious, while fungal pneumonia is typically not contagious.', '2024-04-18 09:46:10', '2024-04-18 09:46:10'),
(904, 861, 'Pneumonia can be classified into several types based on the cause, including community-acquired pneumonia (CAP), hospital-acquired pneumonia (HAP), aspiration pneumonia, and atypical pneumonia.', '2024-04-18 09:46:11', '2024-04-18 09:46:11'),
(905, 862, 'Yes, severe cases of pneumonia can lead to lung scarring, known as pulmonary fibrosis, which can impair lung function and lead to long-term respiratory problems.', '2024-04-18 09:46:15', '2024-04-18 09:46:15'),
(906, 863, 'Yes, pneumonia can sometimes cause confusion or delirium, particularly in older adults or those with underlying cognitive impairment. This is known as pneumonia-associated encephalopathy.', '2024-04-18 09:46:16', '2024-04-18 09:46:16'),
(907, 864, 'Yes, pneumonia can lead to dehydration, particularly if individuals have fever, sweating, and decreased fluid intake due to loss of appetite or difficulty swallowing.', '2024-04-18 09:46:17', '2024-04-18 09:46:17'),
(908, 865, 'Yes, pneumonia can cause nausea and vomiting, especially if individuals have a high fever, coughing fits, or are taking medications that may upset the stomach.', '2024-04-18 09:46:18', '2024-04-18 09:46:18'),
(909, 866, 'Yes, pneumonia can sometimes cause a sore throat, particularly if the infection spreads to the upper respiratory tract, leading to inflammation of the throat tissues', '2024-04-18 09:46:20', '2024-04-18 09:46:20'),
(910, 867, 'Yes, pneumonia can sometimes cause back pain, particularly if inflammation spreads to the lining of the lungs or adjacent structures, leading to referred pain to the back.', '2024-04-18 09:46:21', '2024-04-18 09:46:21'),
(911, 868, 'Yes, pneumonia can lead to low oxygen levels in the blood, known as hypoxemia, due to impaired gas exchange in the inflamed lungs.', '2024-04-18 09:46:22', '2024-04-18 09:46:22'),
(912, 869, 'While pneumonia itself does not directly cause high blood pressure, systemic inflammation and stress on the cardiovascular system can contribute to temporary increases in blood pressure during acute illness.', '2024-04-18 09:46:23', '2024-04-18 09:46:23'),
(913, 870, 'Yes, night sweats are a common symptom of pneumonia, particularly if individuals have fever and experience sweating episodes during sleep.', '2024-04-18 09:46:25', '2024-04-18 09:46:25'),
(914, 871, 'Yes, difficulty breathing while lying down, known as orthopnea, can occur in pneumonia, especially if there is inflammation or fluid buildup in the lungs that worsens when lying flat', '2024-04-18 09:46:26', '2024-04-18 09:46:26'),
(915, 872, 'Yes, wheezing can occur in pneumonia, particularly if there is inflammation or narrowing of the airways due to infection, leading to airflow obstruction and wheezing sounds during breathing', '2024-04-18 09:46:27', '2024-04-18 09:46:27'),
(916, 873, 'While pneumonia itself does not typically cause a rash, some viral infections that can lead to pneumonia, such as varicella-zoster virus (chickenpox) or adenovirus, may cause skin rashes as part of their clinical presentation.', '2024-04-18 09:46:28', '2024-04-18 09:46:28'),
(917, 874, 'Swollen lymph nodes are not a typical symptom of pneumonia, but individuals with severe or systemic infections may sometimes experience lymph node enlargement as part of their body\'s immune response.', '2024-04-18 09:46:30', '2024-04-18 09:46:30'),
(918, 875, 'Blood in the urine is not a typical symptom of pneumonia, but individuals with severe infections or complications such as sepsis may sometimes experience kidney-related symptoms, including hematuria (blood in the urine).', '2024-04-18 09:46:31', '2024-04-18 09:46:31'),
(919, 876, 'Yes, a loss of appetite is a common symptom of pneumonia, especially if individuals have fever, fatigue, or gastrointestinal symptoms that affect their ability to eat.', '2024-04-18 09:46:32', '2024-04-18 09:46:32'),
(920, 877, 'Muscle weakness is not a typical symptom of pneumonia, but individuals with severe or prolonged illness may experience generalized weakness or fatigue due to the overall impact of infection on the body.', '2024-04-18 09:46:33', '2024-04-18 09:46:33'),
(921, 878, 'Yes, excessive sweating, particularly night sweats, can occur in pneumonia, especially if individuals have fever or experience sweating episodes during sleep.', '2024-04-18 09:46:34', '2024-04-18 09:46:34'),
(922, 879, 'Yes, pleurisy, or inflammation of the lining around the lungs (pleura), can occur in pneumonia, leading to chest pain that worsens with breathing or coughing.', '2024-04-18 09:46:35', '2024-04-18 09:46:35'),
(923, 880, 'Hives (urticaria) are not a typical symptom of pneumonia, but individuals with allergic reactions or hypersensitivity to certain medications used to treat pneumonia may sometimes experience skin rashes or hives as a side effect.', '2024-04-18 09:46:36', '2024-04-18 09:46:36'),
(924, 881, 'While pneumonia itself does not directly cause blood clots, individuals with severe infections or prolonged immobility due to illness may be at increased risk of developing blood clots, particularly deep vein thrombosis (DVT) or pulmonary embolism (PE).', '2024-04-18 09:46:37', '2024-04-18 09:46:37'),
(925, 882, 'Hair loss is not a typical symptom of pneumonia, but some individuals may experience temporary hair shedding or thinning as a result of physical or emotional stress associated with illness.', '2024-04-18 09:46:38', '2024-04-18 09:46:38'),
(926, 883, 'Heart palpitations, or sensations of rapid, fluttering, or pounding heartbeat, are not typical symptoms of pneumonia, but individuals with underlying heart conditions or high fever may sometimes experience palpitations as a result of increased cardiac workload or stress on the cardiovascular system.', '2024-04-18 09:46:40', '2024-04-18 09:46:40'),
(927, 884, 'Depression is not a typical symptom of pneumonia, but individuals with prolonged illness, social isolation, or underlying psychological factors may sometimes experience feelings of sadness, hopelessness, or depression during recovery.', '2024-04-18 09:46:41', '2024-04-18 09:46:41'),
(928, 885, 'Sinus congestion, or nasal congestion, is not a typical symptom of pneumonia, but individuals with upper respiratory tract infections or concurrent sinusitis may sometimes experience nasal congestion as part of their overall illness.', '2024-04-18 09:46:42', '2024-04-18 09:46:42'),
(929, 886, 'Mouth sores, or ulcers in the oral cavity, are not typical symptoms of pneumonia, but individuals with severe infections or prolonged illness may sometimes experience oral mucosal lesions or irritation due to dehydration, medication side effects, or immune system suppression.', '2024-04-18 09:46:43', '2024-04-18 09:46:43'),
(930, 887, 'Swollen ankles, or peripheral edema, are not typical symptoms of pneumonia, but individuals with severe infections or heart failure exacerbation may sometimes experience fluid retention in the lower extremities as a result of increased systemic inflammation or cardiovascular congestion', '2024-04-18 09:46:44', '2024-04-18 09:46:44'),
(931, 888, 'Yes, green or yellow mucus production can occur in pneumonia, particularly in bacterial infections or cases of chronic bronchitis, as a result of immune system response and accumulation of inflammatory cells in the airways.', '2024-04-18 09:46:46', '2024-04-18 09:46:46'),
(932, 889, 'Yes, chronic fatigue or persistent tiredness lasting several weeks or months after recovery from pneumonia is not uncommon, particularly in individuals with severe or prolonged illness, as the body continues to recover and rebuild energy reserves.', '2024-04-18 09:46:47', '2024-04-18 09:46:47'),
(933, 890, 'Recurring pneumonia infections, or multiple episodes of pneumonia over time, may occur in individuals with underlying risk factors such as chronic lung diseases, immune system disorders, or recurrent exposure to infectious agents.', '2024-04-18 09:46:48', '2024-04-18 09:46:48'),
(934, 891, 'Yes, weight loss is a common symptom of pneumonia, particularly in individuals with prolonged illness or severe infections, as the body expends energy to fight infection and may have decrased appetite or nutrient absorption.', '2024-04-18 09:46:49', '2024-04-18 09:46:49'),
(935, 892, 'Yes, a low-grade fever that persists for several days or weeks after completing treatment for pneumonia is not uncommon, as the body continues to resolve inflammation and heal damaged tissues.', '2024-04-18 09:46:50', '2024-04-18 09:46:50'),
(936, 893, 'A sore tongue, or glossitis, is not a typical symptom of pneumonia, but individuals with severe infections or prolonged illness may sometimes experience oral mucosal irritation or inflammation due to dehydration, medication side effects, or immune system suppression.', '2024-04-18 09:46:51', '2024-04-18 09:46:51'),
(937, 894, 'Swollen tonsils, or tonsillar hypertrophy, are not typical symptoms of pneumonia, but individuals with upper respiratory tract infections or concurrent tonsillitis may sometimes experience tonsillar enlargement as part of their overall illness.', '2024-04-18 09:46:52', '2024-04-18 09:46:52'),
(938, 895, 'Red eyes, or conjunctival injection, are not typical symptoms of pneumonia, but individuals with systemic infections or severe inflammation may sometimes experience eye irritation, redness, or conjunctivitis as part of their overall illness.', '2024-04-18 09:46:53', '2024-04-18 09:46:53'),
(939, 896, 'Yes, pneumonia can cause shaking chills, also known as rigors, as the body responds to fever by generating and releasing heat, resulting in involuntary shivering', '2024-04-18 09:46:56', '2024-04-18 09:46:56'),
(940, 897, 'Yes, pneumonia can cause wheezing, especially if the infection causes inflammation or narrowing of the airways, leading to difficulty breathing and wheezing sounds during inhalation or exhalation.', '2024-04-18 09:46:57', '2024-04-18 09:46:57'),
(941, 898, 'Yes, pneumonia can cause cyanosis, a bluish discoloration of the skin or mucous membranes, especially if individuals have low oxygen levels in the blood (hypoxemia) due to impaired lung function.', '2024-04-18 09:46:59', '2024-04-18 09:46:59'),
(942, 899, 'While nail clubbing (enlargement and rounding of the fingertips) is not a direct symptom of pneumonia, it can occur in chronic respiratory conditions associated with hypoxemia, which may include severe or recurrent pneumonia.', '2024-04-18 09:47:00', '2024-04-18 09:47:00'),
(943, 900, 'While a runny nose is not a typical symptom of pneumonia, severe respiratory infections can sometimes cause nasal congestion, discharge, or sinus pressure, leading to symptoms resembling a cold or flu', '2024-04-18 09:47:01', '2024-04-18 09:47:01'),
(944, 901, 'While diarrhea is not a typical symptom of pneumonia, severe systemic infections can sometimes cause gastrointestinal symptoms such as nausea, vomiting, or diarrhea due to the body\'s inflammatory response and stress on the digestive system.', '2024-04-18 09:47:02', '2024-04-18 09:47:02'),
(945, 902, 'While vomiting is not a typical symptom of pneumonia, severe systemic infections can sometimes cause gastrointestinal symptoms such as nausea, vomiting, or diarrhea due to the body\'s inflammatory response and stress on the digestive system.', '2024-04-18 09:47:03', '2024-04-18 09:47:03'),
(946, 903, 'Yes, malaise, a general feeling of discomfort or illness, is a common symptom of pneumonia, especially if individuals experience systemic symptoms such as fever, fatigue, or muscle aches.', '2024-04-18 09:47:04', '2024-04-18 09:47:04'),
(947, 904, 'Yes, lethargy, a state of reduced alertness or energy, can occur in severe cases of pneumonia, especially if individuals experience fever, respiratory distress, or disrupted sleep patterns due to coughing or difficulty breathing.', '2024-04-18 09:47:05', '2024-04-18 09:47:05'),
(948, 905, 'While photophobia (sensitivity to light) is not a typical symptom of pneumonia, severe systemic infections can sometimes cause symptoms such as headache or eye irritation, which may worsen in bright light.', '2024-04-18 09:47:06', '2024-04-18 09:47:06'),
(949, 906, 'Yes, chest tightness, a sensation of pressure or discomfort in the chest, can occur in pneumonia, especially if individuals experience inflammation or narrowing of the airways due to infection', '2024-04-18 09:47:08', '2024-04-18 09:47:08'),
(950, 907, 'No, pneumonia is not typically transmitted through sexual contact. It is primarily spread through respiratory droplets from coughing or sneezing of an infected person.', '2024-04-18 09:47:09', '2024-04-18 09:47:09'),
(951, 908, 'Aspiration pneumonia can occur when food, liquids, saliva, or vomit are inhaled into the lungs, leading to infection. This type of pneumonia is more common in individuals with swallowing difficulties or impaired consciousness.', '2024-04-18 09:47:10', '2024-04-18 09:47:10'),
(952, 909, 'While a loss of smell or taste is not a typical symptom of pneumonia, it can occur in some respiratory infections, including viral pneumonia caused by viruses such as COVID-19.', '2024-04-18 09:47:11', '2024-04-18 09:47:11'),
(953, 910, 'While a hoarse voice is not a typical symptom of pneumonia, severe respiratory infections can sometimes cause inflammation of the vocal cords or larynx, leading to changes in voice quality.', '2024-04-18 09:47:12', '2024-04-18 09:47:12'),
(954, 911, 'While difficulty swallowing is not a typical symptom of pneumonia, severe respiratory infections can sometimes cause throat irritation or inflammation, leading to discomfort or difficulty swallowing.', '2024-04-18 09:47:13', '2024-04-18 09:47:13'),
(955, 912, 'While chest burning is not a direct symptom of pneumonia, severe respiratory infections can sometimes cause symptoms such as chest discomfort, tightness, or pressure due to inflammation or coughing.', '2024-04-18 09:47:15', '2024-04-18 09:47:15'),
(956, 913, 'While skin discoloration is not a direct symptom of pneumonia, severe systemic infections can sometimes cause changes in skin color or appearance, especially if individuals have low oxygen levels or poor circulation.', '2024-04-18 09:47:16', '2024-04-18 09:47:16'),
(957, 914, 'Yes, pneumonia can cause sleep disturbances, especially if individuals experience symptoms such as coughing, difficulty breathing, or discomfort that disrupts sleep patterns.', '2024-04-18 09:47:17', '2024-04-18 09:47:17'),
(958, 915, 'Yes, pneumonia can cause mood changes, especially if individuals experience systemic symptoms such as fever, fatigue, or discomfort that affect their overall well-being and mood.', '2024-04-18 09:47:19', '2024-04-18 09:47:19'),
(959, 916, 'While hallucinations are not a typical symptom of pneumonia, severe systemic infections, especially in elderly individuals or those with preexisting cognitive impairment, can sometimes cause delirium or altered mental status.', '2024-04-18 09:47:20', '2024-04-18 09:47:20'),
(960, 917, 'While urinary symptoms are not typical of pneumonia, severe systemic infections can sometimes cause symptoms such as urinary frequency, urgency, or discomfort due to systemic inflammation or stress on the body.', '2024-04-18 09:47:21', '2024-04-18 09:47:21'),
(961, 918, 'While joint swelling is not a direct symptom of pneumonia, severe systemic infections can sometimes cause inflammation or fluid retention in the body that may lead to joint discomfort or swelling.', '2024-04-18 09:47:22', '2024-04-18 09:47:22'),
(962, 919, 'Yes, pneumonia can cause chest rattling or crackling sounds, known as rales or crepitations, especially if there is mucus or fluid buildup in the airways or lungs', '2024-04-18 09:47:23', '2024-04-18 09:47:23'),
(963, 920, 'While abdominal bloating is not a direct symptom of pneumonia, severe systemic infections can sometimes cause gastrointestinal symptoms such as bloating or discomfort due to the body\'s inflammatory response and stress on the digestive system.', '2024-04-18 09:47:24', '2024-04-18 09:47:24'),
(964, 921, 'While difficulty speaking is not a typical symptom of pneumonia, severe respiratory infections can sometimes cause hoarseness or changes in voice quality due to inflammation of the vocal cords or larynx.', '2024-04-18 09:47:25', '2024-04-18 09:47:25'),
(965, 922, 'While lightheadedness or fainting are not typical symptoms of pneumonia, severe respiratory infections can sometimes cause symptoms such as dizziness or lightheadedness due to decreased oxygen delivery to the brain or systemic effects of infection.', '2024-04-18 09:47:26', '2024-04-18 09:47:26'),
(966, 923, 'While neck pain is not a direct symptom of pneumonia, severe respiratory infections can sometimes cause symptoms such as muscle aches or discomfort that may extend to the neck or shoulders', '2024-04-18 09:47:27', '2024-04-18 09:47:27'),
(967, 924, 'Yes, pneumonia can cause a rapid or irregular heartbeat, especially if individuals experience systemic symptoms such as fever or dehydration that can affect heart function or increase cardiac workload', '2024-04-18 09:47:28', '2024-04-18 09:47:28'),
(968, 925, 'Yes, severe pneumonia, especially in elderly individuals or those with preexisting cognitive impairment, can affect concentration or memory due to systemic effects of infection, inflammation, or reduced oxygen delivery to the brain.', '2024-04-18 09:47:29', '2024-04-18 09:47:29'),
(969, 926, 'While swollen tonsils or lymph nodes in the neck are not typical symptoms of pneumonia, severe respiratory infections can sometimes cause inflammation or swelling of the lymph nodes due to the body\'s immune response to infection.', '2024-04-18 09:47:31', '2024-04-18 09:47:31'),
(970, 927, 'While cold hands or feet are not direct symptoms of pneumonia, severe systemic infections can sometimes cause symptoms such as poor circulation or vasoconstriction, leading to decreased blood flow to the extremities.', '2024-04-18 09:47:32', '2024-04-18 09:47:32'),
(971, 928, 'While a runny nose or sneezing are not typical symptoms of pneumonia, severe respiratory infections can sometimes cause symptoms such as nasal congestion, discharge, or sneezing due to inflammation in the upper respiratory tract.', '2024-04-18 09:47:34', '2024-04-18 09:47:34'),
(972, 929, 'Yes, severe pneumonia can sometimes cause pale or bluish skin, known as cyanosis, especially if individuals have low oxygen levels in the blood due to impaired lung function or respiratory distress.', '2024-04-18 09:47:35', '2024-04-18 09:47:35'),
(973, 930, 'While a loss of coordination or balance is not a typical symptom of pneumonia, severe respiratory infections can sometimes cause symptoms such as dizziness or weakness that may affect mobility or balance.', '2024-04-18 09:47:36', '2024-04-18 09:47:36'),
(974, 931, 'While swollen or painful joints are not typical symptoms of pneumonia, severe systemic infections can sometimes cause symptoms such as joint discomfort or inflammation due to the body\'s immune response to infection.', '2024-04-18 09:47:37', '2024-04-18 09:47:37'),
(975, 932, 'While swollen or tender glands in the neck are not direct symptoms of pneumonia, severe respiratory infections can sometimes cause inflammation or swelling of the lymph nodes in response to infection.', '2024-04-18 09:47:38', '2024-04-18 09:47:38'),
(976, 933, 'While a feeling of heaviness or pressure in the head is not a direct symptom of pneumonia, severe respiratory infections can sometimes cause symptoms such as headache or sinus discomfort.', '2024-04-18 09:47:39', '2024-04-18 09:47:39'),
(977, 934, 'While muscle spasms or cramps are not typical symptoms of pneumonia, severe systemic infections can sometimes cause symptoms such as muscle stiffness, discomfort, or weakness.', '2024-04-18 09:47:40', '2024-04-18 09:47:40'),
(978, 935, 'While muscle stiffness or rigidity are not typical symptoms of pneumonia, severe systemic infections can sometimes cause symptoms such as muscle discomfort or tension.', '2024-04-18 09:47:41', '2024-04-18 09:47:41'),
(979, 936, 'While a feeling of pressure or discomfort in the eyes is not a direct symptom of pneumonia, severe respiratory infections can sometimes cause symptoms such as sinus congestion or eye irritation.', '2024-04-18 09:47:42', '2024-04-18 09:47:42'),
(980, 937, 'While sensitivity to touch or pain on the skin is not a typical symptom of pneumonia, severe systemic infections can sometimes cause symptoms such as generalized discomfort or hypersensitivity.', '2024-04-18 09:47:43', '2024-04-18 09:47:43'),
(981, 938, 'While a feeling of pressure or discomfort in the temples is not a direct symptom of pneumonia, severe respiratory infections can sometimes cause symptoms such as headache or sinus discomfort.', '2024-04-18 09:47:44', '2024-04-18 09:47:44'),
(982, 939, 'While numbness or tingling in the extremities are not direct symptoms of pneumonia, severe systemic infections can sometimes cause symptoms such as poor circulation or sensory changes.', '2024-04-18 09:47:45', '2024-04-18 09:47:45'),
(983, 940, 'While a feeling of pressure or discomfort in the forehead is not a direct symptom of pneumonia, severe respiratory infections can sometimes cause symptoms such as headache or sinus congestion.', '2024-04-18 09:47:46', '2024-04-18 09:47:46'),
(984, 941, 'While sensitivity to certain foods or odors is not a direct symptom of pneumonia, severe systemic infections can sometimes cause changes in sensory perception or appetite.', '2024-04-18 09:47:48', '2024-04-18 09:47:48'),
(985, 942, 'Yes, pneumonia can cause symptoms to worsen with certain activities or movements, especially if individuals experience discomfort or shortness of breath with exertion due to impaired lung function or respiratory distress.', '2024-04-18 09:47:49', '2024-04-18 09:47:49'),
(986, 943, 'While changes in blood pressure or heart rate upon standing are not direct symptoms of pneumonia, severe systemic infections can sometimes cause symptoms such as dizziness or lightheadedness upon standing due to dehydration or orthostatic hypotension.', '2024-04-18 09:47:50', '2024-04-18 09:47:50'),
(987, 944, 'Yes, pneumonia can indeed cause a persistent dry or tickling cough. This type of cough may develop as a result of irritation and inflammation in the airways due to the infection. It\'s important to note that while pneumonia commonly presents with a productive cough (producing mucus or phlegm), it can also manifest with a dry cough in some cases. If you experience a persistent dry or tickling cough, especially if accompanied by other symptoms such as fever, difficulty breathing, chest pain, or fatigue, it\'s essential to seek medical attention for proper evaluation and treatment.', '2024-04-18 09:47:51', '2024-04-18 09:47:51'),
(988, 945, 'While difficulty or discomfort when bending or twisting the torso is not a direct symptom of pneumonia, severe respiratory infections can sometimes cause symptoms such as muscle aches or discomfort that may affect mobility or flexibility.', '2024-04-18 09:47:53', '2024-04-18 09:47:53'),
(989, 946, 'While difficulty or pain when swallowing solid foods is not a typical symptom of pneumonia, severe respiratory infections can sometimes cause throat irritation or inflammation that may lead to discomfort or difficulty swallowing certain textures.', '2024-04-18 09:47:54', '2024-04-18 09:47:54'),
(990, 947, 'Yes, pneumonia can cause a rapid or irregular pulse rate, especially if individuals experience systemic symptoms such as fever or dehydration that can affect heart function or increase cardiac workload.', '2024-04-18 09:47:55', '2024-04-18 09:47:55'),
(991, 948, 'Yes, pneumonia can cause a feeling of weakness or heaviness in the limbs, especially if individuals experience systemic symptoms such as fatigue or malaise that affect overall energy levels and stamina.', '2024-04-18 09:47:56', '2024-04-18 09:47:56'),
(992, 949, 'Yes, pneumonia can cause a persistent cough with blood-streaked mucus, known as hemoptysis, especially if there is significant lung inflammation or if blood vessels in the lungs become inflamed or damaged.', '2024-04-18 09:47:57', '2024-04-18 09:47:57'),
(993, 950, 'While a metallic taste in the mouth is not a direct symptom of pneumonia, severe respiratory infections can sometimes cause symptoms such as nasal congestion or postnasal drip that may affect taste sensations.', '2024-04-18 09:47:59', '2024-04-18 09:47:59'),
(994, 951, 'While dry or brittle hair or skin are not direct symptoms of pneumonia, severe systemic infections can sometimes cause dehydration or nutrient deficiencies that may affect the condition of hair and skin.', '2024-04-18 09:48:00', '2024-04-18 09:48:00'),
(995, 952, 'Yes, pneumonia can cause feelings of anxiety or panic, especially if individuals experience symptoms such as difficulty breathing or chest discomfort that may lead to heightened stress or anxiety.', '2024-04-18 09:48:01', '2024-04-18 09:48:01'),
(996, 953, 'While swollen or puffy eyes are not direct symptoms of pneumonia, severe systemic infections can sometimes cause symptoms such as fatigue, dehydration, or fluid retention that may affect the appearance of the eyes.', '2024-04-18 09:48:02', '2024-04-18 09:48:02'),
(997, 954, 'Yes, pneumonia can cause chest discomfort that worsens with deep breaths, a condition known as pleuritic chest pain, especially if individuals have inflammation of the pleura (pleurisy) or irritation of the chest wall.', '2024-04-18 09:48:05', '2024-04-18 09:48:05'),
(998, 955, 'While a sensation of something stuck in the throat is not a direct symptom of pneumonia, severe respiratory infections can sometimes cause throat irritation or inflammation that may lead to discomfort or the perception of obstruction.', '2024-04-18 09:48:06', '2024-04-18 09:48:06'),
(999, 956, 'While a persistent foul taste or odor in the mouth is not a direct symptom of pneumonia, severe respiratory infections can sometimes cause symptoms such as nasal congestion or postnasal drip that may affect taste or smell sensations.', '2024-04-18 09:48:07', '2024-04-18 09:48:07'),
(1000, 957, 'While bronchitis and pneumonia are separate conditions, severe cases of bronchitis, especially if caused by bacteria, can lead to pneumonia if the infection spreads to the lungs.', '2024-04-18 09:48:10', '2024-04-18 09:48:10'),
(1001, 958, 'Acute bronchitis is common in both children and adults, but it often affects children more frequently due to their immature immune systems and increased exposure to respiratory infections.', '2024-04-18 09:48:11', '2024-04-18 09:48:11'),
(1002, 959, 'Yes, bronchitis can cause wheezing, especially if the inflammation and mucus production narrow the airways, leading to difficulty breathing and wheezing sounds during inhalation or exhalation.', '2024-04-18 09:48:12', '2024-04-18 09:48:12'),
(1003, 960, 'Acute bronchitis usually lasts for a few weeks, with symptoms improving gradually over time. Chronic bronchitis, on the other hand, persists for much longer and requires ongoing management', '2024-04-18 09:48:13', '2024-04-18 09:48:13'),
(1004, 961, 'Treatment for acute bronchitis is usually focused on relieving symptoms and may include rest, staying hydrated, using over-the-counter cough suppressants or expectorants, and sometimes, in cases caused by bacterial infections, antibiotics.', '2024-04-18 09:48:14', '2024-04-18 09:48:14'),
(1005, 962, 'Yes, bronchitis can cause muscle aches or discomfort, especially if individuals experience systemic symptoms such as fever, fatigue, or coughing, which can strain chest or respiratory muscles', '2024-04-18 09:48:15', '2024-04-18 09:48:15'),
(1006, 963, 'Yes, bronchitis can cause chills, especially if individuals experience fever or sudden changes in body temperature due to the immune response to infection', '2024-04-18 09:48:16', '2024-04-18 09:48:16'),
(1007, 964, 'While nasal congestion is not a typical symptom of bronchitis, severe respiratory infections can sometimes cause nasal congestion or sinus pressure, especially if individuals have symptoms of a cold or flu.', '2024-04-18 09:48:17', '2024-04-18 09:48:17'),
(1008, 965, 'While diarrhea is not a typical symptom of bronchitis, severe systemic infections can sometimes cause gastrointestinal symptoms such as nausea, vomiting, or diarrhea due to the body\'s inflammatory response and stress on the digestive system.', '2024-04-18 09:48:19', '2024-04-18 09:48:19'),
(1009, 966, 'Yes, bronchitis can cause a dry cough, especially in the early stages of the infection before mucus production increases, or in cases of viral bronchitis where mucus production may be minimal.', '2024-04-18 09:48:20', '2024-04-18 09:48:20'),
(1010, 967, 'While nasal discharge is not a typical symptom of bronchitis, severe respiratory infections can sometimes cause nasal congestion, discharge, or sinus pressure, leading to symptoms resembling a cold or flu.', '2024-04-18 09:48:21', '2024-04-18 09:48:21'),
(1011, 968, 'Yes, bronchitis can cause difficulty sleeping, especially if individuals experience symptoms such as coughing or difficulty breathing that disrupt sleep patterns.', '2024-04-18 09:48:22', '2024-04-18 09:48:22'),
(1012, 969, 'Yes, acute bronchitis can cause a low-grade fever, especially if the inflammation is accompanied by an immune response to a viral or bacterial infection.', '2024-04-18 09:48:23', '2024-04-18 09:48:23'),
(1013, 970, 'Yes, bronchitis can cause a loss of appetite, especially if individuals experience symptoms such as nausea, vomiting, or abdominal discomfort, or if they have a fever, which can suppress appetite.', '2024-04-18 09:48:24', '2024-04-18 09:48:24'),
(1014, 971, 'While difficulty speaking is not a direct symptom of bronchitis, severe respiratory infections can sometimes cause hoarseness or changes in voice quality due to inflammation of the vocal cords or larynx', '2024-04-18 09:48:27', '2024-04-18 09:48:27'),
(1015, 972, 'Yes, bronchitis can cause chest tightness or pressure, especially if there is inflammation and mucus buildup in the airways, leading to discomfort or difficulty breathing.', '2024-04-18 09:48:29', '2024-04-18 09:48:29'),
(1016, 973, 'Yes, severe bronchitis, especially if accompanied by systemic symptoms such as fever or fatigue, can affect concentration or memory due to the body\'s inflammatory response and stress.', '2024-04-18 09:48:30', '2024-04-18 09:48:30'),
(1017, 974, 'While difficulty swallowing is not a typical symptom of bronchitis, severe respiratory infections can sometimes cause throat irritation or inflammation, leading to discomfort or difficulty swallowing.', '2024-04-18 09:48:31', '2024-04-18 09:48:31'),
(1018, 975, 'Yes, bronchitis can sometimes cause a persistent cough after recovery, especially if there is residual inflammation or irritation in the airways that persists after the infection has cleared.', '2024-04-18 09:48:32', '2024-04-18 09:48:32'),
(1019, 976, 'While lightheadedness or dizziness are not typical symptoms of bronchitis, severe respiratory infections can sometimes cause symptoms such as fatigue or dehydration that may lead to feelings of lightheadedness.', '2024-04-18 09:48:33', '2024-04-18 09:48:33'),
(1020, 977, 'While swollen lymph nodes are not a direct symptom of bronchitis, severe respiratory infections can sometimes cause inflammation of the lymph nodes in the neck or chest region due to the body\'s immune response to infection', '2024-04-18 09:48:34', '2024-04-18 09:48:34'),
(1021, 978, 'Yes, bronchitis can cause a feeling of chest congestion or heaviness, especially if there is inflammation and mucus buildup in the airways that leads to discomfort or difficulty breathing.', '2024-04-18 09:48:36', '2024-04-18 09:48:36'),
(1022, 979, 'Yes, bronchitis can cause a feeling of weakness or fatigue, especially if individuals experience systemic symptoms such as fever, coughing, or difficulty breathing that can lead to overall feelings of tiredness and weakness.', '2024-04-18 09:48:37', '2024-04-18 09:48:37'),
(1023, 980, 'While difficulty or pain when swallowing saliva is not a typical symptom of bronchitis, severe respiratory infections can sometimes cause throat irritation or inflammation that may lead to discomfort or difficulty swallowing.', '2024-04-18 09:48:39', '2024-04-18 09:48:39'),
(1024, 981, 'While a sore or scratchy throat is not a typical symptom of bronchitis, throat irritation or discomfort can occur, especially if individuals experience coughing or postnasal drip associated with the condition.', '2024-04-18 09:48:40', '2024-04-18 09:48:40'),
(1025, 982, 'While numbness or tingling in the extremities are not direct symptoms of bronchitis, severe systemic infections can sometimes cause symptoms such as poor circulation or vasoconstriction, leading to sensations of numbness or tingling in the hands or feet.', '2024-04-18 09:48:41', '2024-04-18 09:48:41'),
(1026, 983, 'While abdominal bloating is not a direct symptom of bronchitis, severe systemic infections can sometimes cause gastrointestinal symptoms such as bloating or discomfort due to the body\'s inflammatory response and stress on the digestive system.', '2024-04-18 09:48:43', '2024-04-18 09:48:43'),
(1027, 984, 'After bronchitis, the timing for resuming normal activities can vary depending on the severity of your symptoms and your overall health condition. In general, you can consider resuming your normal activities when:\n\nFever Subsides: If you had a fever, it should have subsided for at least 24 hours without the use of fever-reducing medications like acetaminophen or ibuprofen.\n\nImproved Energy Levels: You should start to feel more energetic and less fatigued compared to when your symptoms were at their peak.\n\nReduced Coughing: Your coughing should have significantly decreased, and you should be producing less mucus.\n\nImproved Breathing: Breathing should be easier, and you should experience less shortness of breath or wheezing.\n\nDecreased Chest Discomfort: Any chest tightness or discomfort should have diminished.\n\nMedical Clearance: It\'s always a good idea to consult with your healthcare provider to ensure that it\'s safe for you to resume your normal activities, especially if you have any underlying health conditions or if your bronchitis was severe.\n\nGradual Return: When you do start to resume your activities, it\'s advisable to do so gradually. Begin with light activities and gradually increase the intensity as you feel stronger and more comfortable.\n\nIt\'s essential to listen to your body during the recovery process. If you experience any worsening of symptoms or if your symptoms persist despite rest, it\'s important to seek medical advice promptly. Additionally, if your job or daily activities involve strenuous physical exertion or exposure to respiratory irritants, you may need to adjust your return accordingly.', '2024-04-18 09:48:44', '2024-04-18 09:48:44'),
(1028, 985, 'Both affect the respiratory system, but:\nBronchitis: Inflammation of air passages (bronchi).\nPneumonia: Infection of lung tissue (alveoli)', '2024-04-18 09:48:45', '2024-04-18 09:48:45'),
(1029, 986, 'While acute bronchitis usually resolves without complications, it can sometimes progress to pneumonia, especially in vulnerable populations like the elderly or those with weakened immune systems. Chronic bronchitis, if left untreated, may also increase the risk of respiratory infections like pneumonia.', '2024-04-18 09:48:46', '2024-04-18 09:48:46'),
(1030, 987, 'Bronchitis can be contagious depending on its cause:\nIf it results from a viral or bacterial infection, it can be contagious.\nIf it is due to smoking, air pollution, or other inhaled irritants, it is not contagious.', '2024-04-18 09:48:47', '2024-04-18 09:48:47'),
(1031, 988, 'Yes, children can develop bronchitis. It’s often caused by viral infections and presents similarly to adult bronchitis. Parents should seek medical advice if their child has persistent symptoms.', '2024-04-18 09:48:48', '2024-04-18 09:48:48'),
(1032, 989, 'Yes, complications can include:\nPneumonia: Especially in vulnerable individuals.\nChronic obstructive pulmonary disease (COPD): Chronic bronchitis is a type of COPD.\nRecurrent infections: Due to weakened airways.', '2024-04-18 09:48:49', '2024-04-18 09:48:49'),
(1033, 990, 'Viral bronchitis is usually self-limiting. Treatment focuses on symptom relief:\nRest, hydration, and using a humidifier.\nOver-the-counter cough suppressants and pain relievers.', '2024-04-18 09:48:50', '2024-04-18 09:48:50'),
(1034, 991, 'Yes, smokers are at increased risk of developing both acute and chronic bronchitis. Smoking damages the airways and impairs the body’s ability to clear mucus.', '2024-04-18 09:48:53', '2024-04-18 09:48:53'),
(1035, 992, 'Mucus production increases during bronchitis as a protective mechanism. It helps trap and remove irritants, but excessive mucus can contribute to coughing.', '2024-04-18 09:48:54', '2024-04-18 09:48:54'),
(1036, 993, 'Yes, bronchitis is more prevalent during cold and flu seasons due to increased viral infections.', '2024-04-18 09:48:55', '2024-04-18 09:48:55'),
(1037, 994, 'Acute bronchitis is usually mild and resolves on its own. Chronic bronchitis, especially if related to smoking, can be more serious', '2024-04-18 09:48:57', '2024-04-18 09:48:57'),
(1038, 995, 'Most of the time, a chest X-ray is not necessary for diagnosing bronchitis', '2024-04-18 09:49:05', '2024-04-18 09:49:05'),
(1039, 996, 'No specific vaccine exists for bronchitis', '2024-04-18 09:49:06', '2024-04-18 09:49:06'),
(1040, 997, 'Avoid dairy products if they worsen mucus production', '2024-04-18 09:49:17', '2024-04-18 09:49:17'),
(1041, 998, 'Monitoring oxygen levels helps assess lung function and guides treatment', '2024-04-18 09:49:29', '2024-04-18 09:49:29'),
(1042, 999, 'A chest X-ray helps visualize lung abnormalities and confirms pneumonia', '2024-04-18 09:49:32', '2024-04-18 09:49:32'),
(1043, 1000, 'Severe pneumonia can strain the heart over time', '2024-04-18 09:49:34', '2024-04-18 09:49:34'),
(1044, 1001, 'Pneumonia can occur anywhere, but cold weather doesn’t directly cause it. Germs play a bigger role', '2024-04-18 09:49:35', '2024-04-18 09:49:35'),
(1045, 1002, 'Lobar pneumonia affects a specific lobe of the lung. It’s usually bacterial.', '2024-04-18 09:49:40', '2024-04-18 09:49:40'),
(1046, 1003, 'Antibiotic medications, oxygen therapy, bed rest, airway clearance therapy, hyperinflation therapy, and fluid management', '2024-04-18 09:49:59', '2024-04-18 09:49:59'),
(1047, 1004, 'Nonbacterial pneumonia', '2024-04-18 09:50:02', '2024-04-18 09:50:02'),
(1048, 1005, 'Expectoration of yellow sputum, increased white blood cell count, and the presence of fever.', '2024-04-18 09:50:05', '2024-04-18 09:50:05'),
(1049, 1006, 'Alveolar consolidation, atelectasis, and inflammation of the alveoli', '2024-04-18 09:50:07', '2024-04-18 09:50:07'),
(1050, 1007, 'Effusion', '2024-04-18 09:50:10', '2024-04-18 09:50:10'),
(1051, 1008, 'This is the filling of th alveolar spaces due to pneumonia', '2024-04-18 09:50:12', '2024-04-18 09:50:12'),
(1052, 1009, 'Chest pain, tachycardia, hemoptysis, cyanosis, hypoxia, tachypnea, and dyspnea', '2024-04-18 09:50:16', '2024-04-18 09:50:16'),
(1053, 1010, 'It is caused by atypical organisms like mycoplasma pneumonia and chlamydophila. It affects young, healthy adults and presents with a dry, hacking cough.', '2024-04-18 09:50:17', '2024-04-18 09:50:17'),
(1054, 1011, 'Influenza A or B, respiratory syncytial virus, rhinovirus, and coronavirus (SARS, MERS-CoA)', '2024-04-18 09:50:19', '2024-04-18 09:50:19'),
(1055, 1012, 'Vaccines are recommended for people 65 and older as well as those with certain health concerns.', '2024-04-18 09:50:20', '2024-04-18 09:50:20'),
(1056, 1013, 'Currently, two pneumonia vaccines are available from your doctor or pharmacist:\n\nPCV13 (pneumococcal conjugate vaccine)\nPPSV23 (pneumococcal polysaccharide vaccine)', '2024-04-18 09:50:27', '2024-04-18 09:50:27'),
(1057, 1014, 'Carcinomas, lymphomas, vasculitis, sarcoidosis, heart failure, and pulmonary embolism', '2024-04-18 09:50:32', '2024-04-18 09:50:32'),
(1058, 1015, 'Microorganisms enter the alveoli of the lungs, which leads to an infection and inflammatory response.', '2024-04-18 09:50:35', '2024-04-18 09:50:35'),
(1059, 1016, 'Neutrophils are activated, which results in edema of the airways and fluid leaks from the capillaries into the alveoli. This affects normal oxygen transport.', '2024-04-18 09:50:37', '2024-04-18 09:50:37'),
(1060, 1017, 'Air filtration, epiglottis, cough reflex, mucociliary response, reflex bronchoconstriction, and the secretion of immunoglobulins and alveolar macrophages', '2024-04-18 09:50:38', '2024-04-18 09:50:38'),
(1061, 1018, 'A type of pneumonia that occurs when bacteria is aspirated into the lungs', '2024-04-18 09:50:39', '2024-04-18 09:50:39'),
(1062, 1019, 'A type of pneumonia commonly seen in immunocompromised individuals (such as HIV), those receiving radiation therapy, chemotherapy, and long-term corticosteroid therapy', '2024-04-18 09:50:44', '2024-04-18 09:50:44'),
(1063, 1020, 'Sudden symptoms include fever, shaking, chills, shortness of breath, tachypnea, cough, purulent sputum, and pleural cerebral palsy', '2024-04-18 09:50:50', '2024-04-18 09:50:50'),
(1064, 1021, 'It is a common sign of bacterial pneumonia. When the normally air-filled alveoli become filled with fluid and debris, mucus production increases, which can potentially obstruct airflow and impair gas exchange even further.', '2024-04-18 09:50:58', '2024-04-18 09:50:58'),
(1065, 1022, 'Macrophages break down bacteria and process debris. Lung tissue is then allowed to recover and gas exchange returns to normal.', '2024-04-18 09:51:10', '2024-04-18 09:51:10'),
(1066, 1023, 'They need to learn hand hygiene, cough etiquette, a balanced diet, adequate rest, and to stop smoking.', '2024-04-18 09:51:16', '2024-04-18 09:51:16'),
(1067, 1024, 'Lobar atelectasis refers to the collapse of alveoli in an entire lung segment.', '2024-04-18 09:51:19', '2024-04-18 09:51:19'),
(1068, 1025, 'Lobar atelectasis can occur in newborn infants due to a lack of surfactant.\n\nIt is also commonly seen in surgical patients, which can occur during or after the procedure. That is because a surgical procedure often results in shallow breathing, which means that not enough air will reach the alveolar region.\n\nSome other causes of lobar atelectasis include:\n\nAirway obstruction\nMucus plug\nLung tumor\nPleural effusion\nPneumothorax\nTuberculosis\nRespiratory muscle weakness\nThose who smoke cigarettes and the elderly population are also at a higher risk for atelectasis.', '2024-04-18 09:51:30', '2024-04-18 09:51:30'),
(1069, 1026, 'The host’s immune response leads to the inflammatory mediators that create an alveolar-capillary leak. This leak results in rales on auscultation, hypoxemia, and chest x-ray infiltrates.', '2024-04-18 09:51:33', '2024-04-18 09:51:33'),
(1070, 1027, 'Crackles, rhonchi, or wheezes on auscultation; tachypnea; and dullness to percussion', '2024-04-18 09:51:34', '2024-04-18 09:51:34'),
(1071, 1028, 'Lung abscess', '2024-04-18 09:51:37', '2024-04-18 09:51:37');

--
-- Indexes for dumped tables
--

--
-- Indexes for table `intents`
--
ALTER TABLE `intents`
  ADD PRIMARY KEY (`id`);

--
-- Indexes for table `patterns`
--
ALTER TABLE `patterns`
  ADD PRIMARY KEY (`id`),
  ADD KEY `patterns_intent_id_foreign` (`intent_id`);

--
-- Indexes for table `responses`
--
ALTER TABLE `responses`
  ADD PRIMARY KEY (`id`),
  ADD KEY `responses_intent_id_foreign` (`intent_id`);

--
-- AUTO_INCREMENT for dumped tables
--

--
-- AUTO_INCREMENT for table `intents`
--
ALTER TABLE `intents`
  MODIFY `id` bigint(20) UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=1029;

--
-- AUTO_INCREMENT for table `patterns`
--
ALTER TABLE `patterns`
  MODIFY `id` bigint(20) UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=1222;

--
-- AUTO_INCREMENT for table `responses`
--
ALTER TABLE `responses`
  MODIFY `id` bigint(20) UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=1072;

--
-- Constraints for dumped tables
--

--
-- Constraints for table `patterns`
--
ALTER TABLE `patterns`
  ADD CONSTRAINT `patterns_intent_id_foreign` FOREIGN KEY (`intent_id`) REFERENCES `intents` (`id`);

--
-- Constraints for table `responses`
--
ALTER TABLE `responses`
  ADD CONSTRAINT `responses_intent_id_foreign` FOREIGN KEY (`intent_id`) REFERENCES `intents` (`id`);
COMMIT;

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/*!40101 SET CHARACTER_SET_RESULTS=@OLD_CHARACTER_SET_RESULTS */;
/*!40101 SET COLLATION_CONNECTION=@OLD_COLLATION_CONNECTION */;
